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 D

Explanation

A. Meeting friends for fast food daily. This option does not promote joint mobility or health and could lead to poor overall health.

B. Running 5 miles daily in a safe, well-lit area. While running can improve cardiovascular health, it may not be appropriate for an elderly person due to the risk of joint and injury.

C. Exercising 2 hours each day in a gym. Excessive exercise can lead to injury, particularly in the elderly. Moderation and appropriate exercise are crucial.

D. Walking on a lunch break with a friend in a safe area. Regular walking is a low-impact exercise that promotes joint mobility and overall health, making it a suitable choice for an elderly person.

A. The client who is recovering from a motor vehicle collision. B. The client that is recently divorced. C. The client experiencing the symptoms of menopause. D. The client newly diagnosed with lung cancer.

Correct Answer is B

Explanation

A. The client who is recovering from a motor vehicle collision. This situation involves an acute stressor related to trauma, which is significant but not a developmental stressor.

B. The client that is recently divorced. Divorce is a significant life event that can contribute to developmental stress, especially if it involves major life changes and adjustment issues.

C. The client experiencing the symptoms of menopause. Menopause is a normal developmental phase, though it can be stressful. However, it is less likely to be classified as a significant risk factor compared to other life events.

D. The client newly diagnosed with lung cancer. A new cancer diagnosis is a major stressor and can contribute to significant emotional and psychological stress, but it is more of an acute stressor than a developmental one.

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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

A home health nurse is teaching a sedentary elderly female about the importance of joint mobility. Which of the following lifestyle interventions would prevent injury to the affected joints?

Correct Answer is D

Explanation

The nurse is assessing clients for risk factors of experiencing developmental stress. Which of the following clients should the nurse identify has having a risk factor?

Correct Answer is B

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.

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