A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. The client's family asks the nurse for information about this type of care. Which of the following explanations should the nurse provide?
This service focuses on teaching the primary caregiver to meet the client's needs.
The emphasis is on the client's complete recovery from the illness or injury.
This service began with the client's admission to the hospital.
Services are centered in long-term care facilities.
The Correct Answer is C
A. Teaching the primary caregiver is an important component of post-discharge planning, but the focus of rehabilitative care is on the client’s functional recovery, mobility, and independence rather than solely caregiver instruction.
B. Rehabilitation supports recovery, but effective outcomes require early initiation. Planning and interventions often start during hospitalization to address mobility deficits, prevent complications such as pressure injuries or deconditioning, and prepare the client for a safe transition to the next level of care.
C. Rehabilitative care begins with hospital admission, when the healthcare team evaluates the client’s physical and functional status, develops individualized goals, and initiates early interventions. Early rehabilitation is supported by research to improve mobility, reduce length of stay, and optimize long-term functional outcomes.
D. Rehabilitation is not confined to long-term care facilities; it can occur in hospitals, outpatient clinics, specialized rehab centers, and at home, depending on the client’s needs and recovery trajectory.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Fat embolism syndrome - This is characterized by respiratory distress, altered mental status, and petechial rash. It is not associated with increasing edema.
B. Pulmonary embolism - This occurs when a blood clot (usually from the legs) travels to the lungs and can present with symptoms like chest pain, shortness of breath, and rapid heart rate. It is not associated with increasing edema around a fracture site.
C. Acute compartment syndrome - This is a serious condition that occurs when increased pressure within a muscle compartment impairs blood supply, leading to tissue ischemia and necrosis. Increasing edema is an early sign of compartment syndrome.
D. Osteomyelitis - This is an infection of the bone and is not typically associated with increasing edema around a fracture site. It may present with local signs of infection like warmth, redness, and tenderness.
Correct Answer is C
Explanation
A. Remove the elastic bandage and re-wrap the stump once per day: This is not recommended. The elastic bandage provides support and helps reduce swelling. It should only be removed and re-wrapped as directed by the healthcare provider.
B. Secure the elastic bandage to the lowest joint: The bandage should be secure, but it should not be tied too tightly or secured directly over a joint. This could restrict blood flow and cause discomfort.
C. Wrap the stump with an elastic bandage in a figure-eight configuration: This is the correct action. A figure-eight configuration helps distribute pressure evenly, providing support and reducing the risk of edema and complications.
D. Perform passive range-of-motion exercises once daily: Range-of-motion exercises are important, but they should be performed within the parameters set by the healthcare provider. They should not be performed only once daily, and it's essential to avoid overexertion or straining the residual limb.
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