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 A

Explanation

A. Eyelashes that curl slightly outward is a normal finding.
B. Eyelids that blink involuntarily 30 to 35 times per minute may be a normal range, but it's not typically assessed during a routine eye examination.
C. Pupils of 8 to 9 mm in diameter might indicate dilation, which is not a normal finding during a regular eye assessment.
D. Corneas with an opaque appearance could indicate issues such as corneal edema or opacity, which are abnormal findings.

A. Turn the client onto their side. B. Help the client lie on the floor. C. Loosen the client's clothing. D. Move items in the room away from the client.

Correct Answer is B

Explanation

A. Turning the client onto their side helps prevent aspiration and ensures a clear airway but since the client is seated on a chair, they run the risk of getting a fall hence lying them down is the priority.
B. If a client has a seizure when seated, it is best to ensure their safety by lying them on the floor and moving any objects that can cuase injury.
C. Loosening clothing is important but not the priority over ensuring a clear airway.
D. Moving items away from the client is important to prevent injury, but ensuring airway safety comes first.

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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?