A nurse is providing teaching to a client about reducing the adverse effects of immobility.

Which of the following statements by the client indicates an understanding of the teaching?

"I will perform ankle and knee exercises every hour."

"I will have my partner help me change positions every 4 hours."

"I will remove my antiembolic stockings while I am in bed."

"I will hold my breath when rising from a sitting position."

Answer and Explanation

The Correct Answer is A

A.   Regular ankle and knee exercises help prevent muscle atrophy due to immobility.
B.   Changing positions every 4 hours is helpful, but more frequent movement is recommended.
C.   Antiembolic stockings should be worn when immobile to prevent blood clots.
D.   Holding breath during movement doesn't contribute to reducing adverse effects of immobility.

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Correct Answer is C

Explanation

A. Obtaining a random blood glucose daily is important for monitoring glucose levels but might not be specifically related to the introduction of PN in this context.
B. Changing the PN infusion bag every 48 hours might not be universally applicable; the frequency of changing PN bags depends on institutional policies and the stability of the solution being administered.
C. PN with high concentrations of dextrose and fat emulsions typically requires a central venous line for administration to prevent peripheral vein irritation or damage.
D. Administering PN and fat emulsion separately might not be practical as PN usually includes all necessary components in a single infusion.

A. "If you work hard on your physical therapy, you won't need to worry." B. "You shouldn't worry about the future so you can concentrate on getting well." C. "You're concerned about what will happen when you leave the hospital." D. "Why are you concerned even though everyone is here to help you?"

Correct Answer is C

Explanation

A. Dismissing concerns by suggesting that they won't need to worry with physical therapy is not therapeutic. It invalidates the client's feelings.
B. Discouraging the client from worrying may seem dismissive of their emotions and concerns.
C. Acknowledging and reflecting the client's concern about the future demonstrates empathy and encourages further discussion.
D. Asking why the client is concerned might make them feel defensive and does not validate their emotions.

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A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

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A nurse is providing teaching to a client about reducing the adverse effects of immobility.

Which of the following statements by the client indicates an understanding of the teaching?