To reduce a client's risk for footdrop, which action should the practical nurse (PN) implement?
Use a gait belt during ambulation.
Elevate the feet while in bed.
Begin range of motion exercises.
Apply compression stockings.
The Correct Answer is C
A. Use a gait belt during ambulation: A gait belt helps with safe ambulation but does not directly prevent footdrop, which results from muscle weakness or nerve damage when the foot remains in a pointed downward position for too long.
B. Elevate the feet while in bed: Elevating the feet may help with circulation and swelling, but it does not address the muscle weakness or nerve inactivity that can cause footdrop.
C. Begin range of motion exercises: Range of motion exercises maintain joint flexibility and muscle strength, which are essential to prevent footdrop. Moving the ankle and foot helps avoid stiffness and maintains dorsiflexion function.
D. Apply compression stockings: Compression stockings prevent blood clots and control swelling but do not prevent the muscular and neurological complications that lead to footdrop.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Limit ROM assessment to the lower extremities only: Focusing only on the lower extremities does not fully address the concern. Any physical exertion could further strain the respiratory system when the client is already tachypneic and in distress.
B. Defer ROM assessment because of the respiratory rate: A respiratory rate of 30 breaths per minute indicates respiratory distress. Physical exertion, even mild, could worsen oxygenation issues. Protecting respiratory function is the priority, so the ROM assessment should be deferred until the client's condition stabilizes.
C. Ask client to perform flexion and extension of arms 5 times: Even minimal arm movements could increase oxygen demand and fatigue in a client already experiencing respiratory compromise, making this unsafe at the moment.
D. Observe the client performing lateral flexion of the waist: Lateral flexion involves significant muscular effort and could further tax respiratory function. It is not appropriate when the client is tachypneic and needs respiratory support.
Correct Answer is B
Explanation
A. Circular or spiral: Circular or spiral turns are useful for covering areas of uniform thickness like the forearm or lower leg. However, they do not provide the necessary flexibility and joint support needed for an area like the wrist that requires frequent movement.
B. Figure-eight turns: Figure-eight bandaging is ideal for joints such as the wrist because it provides secure stabilization while allowing some range of motion. It supports the bandage placement over the wound and accommodates natural joint movement without slipping or tightening.
C. Arm sling: An arm sling supports the entire arm, typically used for fractures or shoulder injuries. It does not address localized wound care needs on the palm or help secure a dressing at the wrist specifically.
D. Glove or sock: A glove or sock dressing covers an entire hand or foot but would not adequately stabilize a dressing over a specific wound on the palm while allowing wrist mobility. It also may not keep the dressing in firm contact with the wound.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.