A client has decreased mobility. What nursing intervention would be inappropriate to promote mobility?
Teach the client to do active range of motion (AROM) exercises every 2 hours
Evaluate the client's need for ambulatory aid
Keep skin clean and dry.
Encourage ambulation
The Correct Answer is D
Encouraging ambulation would be inappropriate if the client has decreased mobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
False reassurance is a statement that may be intended to comfort or calm the parents, but does not provide any real information or address their concerns. An example of false reassurance in this scenario would be "Don't worry. I'm sure he will be fine."
While the statement "Your child will receive prompt care" and "We care for many 5-year-olds here" are appropriate and true statements, "I have been a pediatric nurse for ten years" is not relevant to the immediate situation and does not provide any information to the parents about their child's condition or care.
Correct Answer is B
Explanation
If a client who has recently undergone an above knee amputation complains of pain distal to the amputation, the type of pain that the client is experiencing is most likely neuropathic pain. Neuropathic pain is a type of pain that occurs as a result of damage or dysfunction to the nervous system. It is often described as a burning, tingling, or shooting sensation and can be difficult to manage with traditional pain medications.
In the case of an amputation, neuropathic pain can occur as a result of the nerve endings in the remaining portion of the limb sending signals to the brain that are interpreted as pain. This can lead to the perception of pain in the "phantom" limb, which is no longer present.
Visceral pain is a type of pain that arises from the internal organs of the body, such as the stomach, intestines, bladder, or uterus. It is often described as a deep, dull, or pressure-like ache that can be difficult to localize or pinpoint to a specific area.
Nociceptive pain is a type of pain that occurs as a result of the activation of nociceptors, which are specialized nerve fibers that respond to noxious stimuli such as heat, cold, pressure, or chemical irritants. Nociceptors are found in various tissues throughout the body, including the skin, muscles, bones, and organs.
Cutaneous pain is a type of pain that arises from the skin or subcutaneous tissues. It is often described as a sharp, burning, or prickling sensation and can be caused by a variety of factors, such as injury, inflammation, or infection of the skin.
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