A client was involved in a multi-car collision six days ago.

Sustained a liver laceration, right rib fracture, and right femur fracture. The liver laceration was repaired.

An intramedullary rod was placed to repair the femur fracture. The client is progressing.

The nurse is implementing the plan of care to increase mobility.

Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client’s progress.

Answer and Explanation

The Correct Answer is []

The correct answer is: Type of Exercises: Isometric exercises Isotonic exercises Actions to Take: Support the extremity Encourage active range of motion exercises Parameters to Monitor: Pain level Range of motion Rationale:

Isometric exercises: These exercises involve contracting the muscle without moving the joint. They are beneficial for maintaining muscle strength and preventing muscle atrophy, especially when the client is unable to perform full range of motion exercises due to pain or limited mobility. Isotonic exercises: These exercises involve moving the joint through its full range of motion with muscle contraction. They help improve muscle strength, endurance, and joint mobility. Isotonic exercises are important for clients who are progressing in their recovery and are able to tolerate more movement. Support the extremity: Providing support to the extremity during exercises helps prevent injury and reduces pain. It also ensures that the client performs the exercises correctly and safely. Encourage active range of motion exercises: Active range of motion exercises involve the client moving their own joints through their full range of motion. These exercises help improve joint mobility, muscle strength, and overall function. Encouraging the client to perform these exercises promotes independence and active participation in their recovery. Pain level: Monitoring the client’s pain level is important to ensure that the exercises are not causing excessive discomfort or injury. Pain management is crucial for promoting compliance with the exercise regimen and facilitating recovery. Range of motion: Assessing the client’s range of motion helps determine the effectiveness of the exercises and the progress of the client’s recovery. It also helps identify any limitations or areas that need further attention

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Correct Answer is A

Explanation

Choice A rationale

Administering pain medication as prescribed is the priority intervention for a client receiving hospice care with significant pain and discomfort. Effective pain management is essential to ensure the client’s comfort and quality of life. Pain relief is a primary goal in hospice care, and regular administration of pain medication helps manage symptoms and improve the client’s overall well-being.

Choice B rationale

Providing emotional support to the family is important in hospice care, as families often need assistance coping with the emotional challenges of caring for a loved one with a terminal illness. However, the priority intervention is to manage the client’s pain and discomfort effectively.

Choice C rationale

Assisting with daily activities is necessary for clients with limited mobility, but it is not the primary intervention. Ensuring the client’s comfort and pain relief takes precedence, as it directly impacts their quality of life.

Choice D rationale

Monitoring vital signs regularly is part of the overall care plan, but it is not the priority intervention. The focus should be on managing the client’s pain and discomfort to provide the best possible quality of life in hospice care.

A. 1.015. B. 1.005. C. 1.035. D. 1.025. E. 1.025.

Correct Answer is C

Explanation

Choice A rationale

A urine specific gravity of 1.015 is within the normal range and does not indicate dehydration. Dehydration typically results in a higher urine specific gravity due to the concentration of solutes in the urine.

Choice B rationale

A urine specific gravity of 1.005 is lower than normal and indicates dilute urine, which is not consistent with dehydration. Dehydration would result in more concentrated urine with a higher specific gravity.

Choice C rationale

A urine specific gravity of 1.035 indicates highly concentrated urine, which is consistent with dehydration. When a client has a history of vomiting and diarrhea, they are likely to be dehydrated, leading to a higher urine specific gravity.

Choice D rationale

A urine specific gravity of 1.025 is slightly higher than normal but not as high as 1.035. While it may indicate some level of concentration, it is not as indicative of severe dehydration as a specific gravity of 1.035.

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Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Which intervention should the nurse prioritize for this client?

Correct Answer is A

Explanation

The nurse is assessing a client who reports a 3-day history of vomiting and diarrhea and experiencing difficulty in tolerating oral fluids. Which urine specific gravity value would the nurse expect to see on initial testing?

Correct Answer is C

Explanation

The nurse is teaching the client to self-administer a dose of low molecular weight heparin SUBQ. Which instruction should the nurse include?

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