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 D

Explanation

A. Two-point alternating gait involves partial weight-bearing on both legs and wouldn’t suit a client who can bear weight on only one leg.
B. Four-point alternating gait involves walking by moving one crutch followed by the opposite leg and is not suitable for a person who can bear weight on just one leg.
C. Swing-through gait involves swinging both legs forward between the crutches, typically used for individuals who have little or no weight-bearing ability.
D. Three-point gait involves bearing weight on one leg while using crutches and moving the other leg forward, the most appropriate gait for someone who can bear weight on one leg.

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?

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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?