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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","F"]
Explanation
A. Mini Nutritional Assessment screening tool score: While it indicates the risk of malnutrition, it's not directly linked to delayed wound healing.
B. History of hyperlipidemia: Hyperlipidemia itself doesn't directly affect wound healing.
C. History of malnutrition: Malnutrition significantly hampers the body's ability to heal wounds effectively.
D. History of diabetes mellitus: Diabetes can impair wound healing due to poor blood sugar control affecting the immune system and circulation.
E. Cholesterol level: Elevated cholesterol, while relevant to overall health, is not directly linked to delayed wound healing.
F. Prealbumin level: Prealbumin is a marker for nutritional status; lower levels indicate inadequate protein intake and can contribute to delayed wound healing.
Correct Answer is D
Explanation
A. Urinary catheter care might be important but is less urgent than maintaining airway patency through endotracheal suctioning.
B. Enteral feeding is important for nutrition, but it's not as immediately critical as managing the client's airway.
C. Wound irrigation is important for wound care but takes precedence after addressing immediate airway concerns.
D. Endotracheal suctioning is crucial for maintaining a patent airway and takes priority due to its impact on breathing and oxygenation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.