The nurse is teaching a student nurse how to assist a patient admitted for generalized weakness, to transfer from bed to a chair. The patient has not been out of bed for several days. Which of the following actions by the student nurse requires further teaching?

Ask the patient to try to stand up independently to assess the patient's strength first.

Remind the patient to look up to ensure good positioning when standing up.

Allow the patient to dangle at the edge of the bed before standing to assess for feelings of dizziness.

Assess the patient for any numbness or tingling in the extremities.

Answer and Explanation

The Correct Answer is A

A. Ask the patient to try to stand up independently to assess the patient's strength first. This action is inappropriate as it may put the patient at risk of falling or injury. The patient should be assisted rather than asked to stand independently.

B. Remind the patient to look up to ensure good positioning when standing up. This is a correct action. Looking up helps the patient maintain better posture and balance when standing.

C. Allow the patient to dangle at the edge of the bed before standing to assess for feelings of dizziness. This is appropriate as it helps to identify any dizziness or orthostatic hypotension before the patient attempts to stand.

D. Assess the patient for any numbness or tingling in the extremities. This is also appropriate as it helps to identify any neurological issues that could affect the patient's ability to stand and transfer safely.

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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. Rotation B. Dorsiflexion C. Eversion D. Extension E. Adduction

Correct Answer is ["A","D","E"]

Explanation

A. Rotation: Rotation is a movement that involves turning a part of the body around its axis, which applies to shoulder movements.

B. Dorsiflexion: Dorsiflexion refers to the movement of the foot, not the shoulder, and is not applicable in this context.

C. Eversion: Eversion involves the movement of the foot and not the shoulder, so it does not apply here.

D. Extension: Extension refers to increasing the angle between body parts, such as straightening the arm or shoulder.

E. Adduction: Adduction involves moving a body part toward the midline, which is relevant to shoulder movements.

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The nurse is teaching a student nurse how to assist a patient admitted for generalized weakness, to transfer from bed to a chair. The patient has not been out of bed for several days. Which of the following actions by the student nurse requires further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient diagnosed with a terminal illness who is interested in signing a healthcare Advanced Directive. Which of the following are included in this type of end-of-life planning? Select all that apply.

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

Explanation

The nurse is assisting a client with performing range-of-motion of the shoulder and the client asks the nurse to identify each movement performed. Which of the following movements should the nurse include? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

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