The nurse is instructing a hospitalized patient about ways to perform isometric exercises. Which of the following exercises demonstrate appropriate instruction?

"I can provide resistance bands for you to use while performing range-of-motion exercises."

“I want you to walk the hallways twice per day to increase your endurance."

“I can provide some simple yoga poses for you to practice as this will increase muscle mass."

“Physical therapy will perform passive-range-of-motion with you each day."

Answer and Explanation

The Correct Answer is C

A. "I can provide resistance bands for you to use while performing range-of-motion exercises." Resistance bands are typically used for strengthening exercises, not specifically for isometric exercises.

B. “I want you to walk the hallways twice per day to increase your endurance." Walking is an aerobic exercise and does not represent isometric exercises, which involve static muscle contraction without movement.

C. “I can provide some simple yoga poses for you to practice as this will increase muscle mass." Yoga poses often involve holding positions that engage muscles without movement, which is characteristic of isometric exercises.

D. “Physical therapy will perform passive-range-of-motion with you each day." Passive-range-of-motion exercises are not isometric exercises, as they involve movement of the joints rather than muscle contraction without movement.

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Correct Answer is ["B","D"]

Explanation

A. "Addressing organ donation and autopsy issues." Advanced directives typically address preferences about medical treatment and end-of-life care, but organ donation and autopsy decisions are not always included in these directives. Organ donation often involves a separate document or registration.

B. "Naming a durable power of attorney for my health care needs." An advanced directive often includes designating a durable power of attorney (DPOA) for healthcare decisions. This person is authorized to make medical decisions on the patient’s behalf if they become unable to do so themselves.

C. "Addressing who gets my personal items if I should die." The distribution of personal items is typically covered in a will, not an advanced directive. Advanced directives focus on healthcare decisions rather than the distribution of personal property.

D. "Naming which life-sustaining treatments I want and do not want." Advanced directives often include instructions about specific medical treatments and interventions that the patient does or does not want, such as resuscitation, mechanical ventilation, or tube feeding.

A. Lateral heels offloaded with pillows B. Supine heels offloaded with pillows C. Fowler's heels offloaded with pillows D. Prone ankles offloaded with pillows.

Correct Answer is A

Explanation

A. Lateral heels offloaded with pillows: Positioning the patient laterally with heels offloaded helps reduce pressure on the heels and prevent pressure sores.

B. Supine heels offloaded with pillows: Although offloading the heels is important, the supine position may still exert pressure on the heels and does not provide as effective offloading as the lateral position.

C. Fowler's heels offloaded with pillows: Fowler’s position may still place some pressure on the heels, even with pillows for offloading.

D. Prone ankles offloaded with pillows: The prone position is generally not recommended for patients with spinal injuries, and it does not effectively address heel pressure.

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The nurse is instructing a hospitalized patient about ways to perform isometric exercises. Which of the following exercises demonstrate appropriate instruction?

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