A nurse is planning care for a client who has hemiplegia. Which of the following interventions should the nurse include?
Instruct the client to sit on a rubber ring when seated in a chair.
Raise the head of the client's bed to a 90° angle.
Use moisturizing lotion while massaging the client's bony prominences.
Place pillows between the client's knees when in a side-lying position.
The Correct Answer is D
A) Instructing the client to sit on a rubber ring may provide comfort for those with hemorrhoids or perineal discomfort but is not directly related to managing hemiplegia.
B) Raising the head of the client's bed to a 90° angle may be uncomfortable and may not address the specific needs related to hemiplegia.
C) Using moisturizing lotion while massaging the client's bony prominences is important for skin integrity but does not directly address the positioning needs of a client with hemiplegia.
D) Placing pillows between the client's knees when in a side-lying position helps maintain proper alignment, prevents pressure ulcers, and promotes comfort for the client with hemiplegia.
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Related Questions
Correct Answer is C
Explanation
A) Keeping the client's knees in a flexed position, is incorrect because prolonged immobility and knee flexion can increase the risk of VTE by impeding venous return.
B) Massaging the client's legs, is not recommended as it may dislodge a potential clot that has formed, leading to a thromboembolic event.
C) This exercise can help promote blood circulation and prevent clot formation without exerting excessive pressure on the surgical site.
D) Adequate hydration is essential for preventing blood clots; dehydration can lead to hemoconcentration and increased risk of thrombosis.
Correct Answer is C
Explanation
A. Syphilis is a bacterial infection, so antiviral medication is not appropriate.
Treatment typically involves antibiotics, such as penicillin.
B. Cryotherapy is not a standard treatment for primary syphilis. Antibiotics are the primary treatment.
C. This is in line with the treatment guidelines for syphilis, which involve antibiotic therapy and follow-up testing to ensure the infection is fully resolved. The tests are done at 3, 6, and 12 months after completion of treatment.
D. Monitoring after medication doses may be necessary for certain medications but is not specifically indicated for primary syphilis.
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