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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Turning overhead lights to a bright setting may not be appropriate as it can be discomforting for the family and doesn't align with providing respectful postmortem care.
B. Inviting the family to assist in washing the client's body can be a part of therapeutic postmortem care and can help the family members in their grieving process.
C. Removing dentures for the family to keep isn't typically part of postmortem care.
D. Leaving the client's eyes open until the family views the body may not be culturally appropriate and can be distressing for the family.
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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