A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?
Sheepskin heel pad
Footboard
Trochanter roll
Abduction pillow
The Correct Answer is B
A. A sheepskin heel pad is primarily used for pressure ulcer prevention, not for preventing plantar flexion contractures.
B. A footboard helps maintain the feet in a dorsiflexed position, preventing plantar flexion contractures in clients with impaired mobility. This device provides support and alignment to the lower extremities.
C. A trochanter roll is used to prevent external rotation of the hips and to maintain proper alignment. It is not specifically designed to prevent plantar flexion contractures.
D. An abduction pillow is used to maintain hip alignment and prevent hip adduction. It is not designed to address plantar flexion contractures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E","F"]
Explanation
A. Potassium level is incorrect because it is within the normal range and does not affect wound healing directly.
B. Prealbumin level is correct because it is low, indicating malnutrition and poor protein intake, which are essential for tissue repair and immune function.
C. History of diabetes mellitus is correct because it causes impaired blood flow, increased risk of infection, and delayed inflammatory response, which all hinder wound healing.
D. History of hyperlipidemia is correct because it causes atherosclerosis and reduced blood supply to the affected area, which limits oxygen and nutrient delivery to the wound.
E. Wound infection is correct because it increases inflammation, tissue damage, and metabolic demands, which prolong the healing process and may lead to complications.
F. Decreased pedal perfusion is correct because it indicates poor circulation to the lower extremities, which impairs wound healing by reducing oxygen and nutrient delivery to
the wound.
G. Fasting blood glucose is incorrect because it is not a direct cause of delayed wound healing, but rather a reflection of the client's diabetes management. However, high blood glucose levels can impair wound healing by affecting blood flow, immune function, and collagen synthesis.
Correct Answer is ["A","C","D"]
Explanation
A. Coordinator: This role involves organizing and integrating the group's activities to achieve the goals effectively. The coordinator helps ensure that tasks are assigned, deadlines are met, and resources are utilized efficiently.
B. Self-confessor: This role involves expressing personal feelings, thoughts, or concerns.
While open communication is important in a team, this role may not always be considered a "necessary task performance role" in the same sense as the others listed. It's more about interpersonal communication rather than task-related functions.
C. Evaluator: This role involves assessing the group's progress toward its goals and providing feedback on performance. The evaluator helps the group identify areas for improvement and make necessary adjustments.
D. Energizer: This role involves motivating and energizing the group members to
maintain their enthusiasm and commitment to the task at hand. The energizer helps boost morale and keeps the group focused on achieving its objectives.
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