A nurse is reinforcing teaching with a client who has arthritis. Which of the following instructions should the nurse include in the teaching?
Use fingers to push off from the bed or chair.
Apply ice to the inflamed joint.
Sleep on a soft mattress.
Engage in low-impact aerobic exercises.
The Correct Answer is D
Choice A Reason:
Using fingers to push off from the bed or chair can strain the finger joints and worsen arthritis pain.
Choice B Reason:
Applying ice to an inflamed joint can provide temporary relief from inflammation and pain but is typically recommended for short periods and not as a long-term solution.
Choice C Reason:
C. Sleeping on a soft mattress may not provide adequate support for individuals with arthritis and can lead to joint discomfort. A mattress with appropriate firmness is often recommended for joint support.
Choice D Reason:
Engage in low-impact aerobic exercises. When teaching a client with arthritis, it is essential to provide instructions that promote joint health and reduce pain. Engaging in low-impact aerobic exercises is a beneficial recommendation. These exercises, such as swimming or stationary biking, can help improve joint flexibility, reduce stiffness, and enhance overall joint function without placing excessive stress on the joints.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Memory loss that disrupts ADLs
Explanation: Dementia is a condition characterized by a decline in cognitive function that affects a person's ability to perform activities of daily living (ADLs). Memory loss is a common symptom of dementia, particularly in the early stages. The memory loss can disrupt a person's ability to carry out tasks they were previously able to do independently, such as dressing, bathing, and eating. Therefore, option a is the correct answer.
Option b, catatonia, is a condition characterized by a lack of movement or activity, which is not typically associated with dementia.
Option c, illusions, involve a misinterpretation of sensory information and may occur in some forms of dementia but are not a defining feature.
Option d, pressured speech, is a symptom commonly associated with mania or bipolar disorder, but is not typically seen in dementia.
Correct Answer is C
Explanation
A) Coiling the tubing on the bed above the collection bag is incorrect because it can cause urine to flow back into the bladder, increasing the risk of infection and compromising the effectiveness of the drainage system. The tubing should be kept below the level of the bladder to ensure proper drainage.
B) Instructing the client to hold the drainage bag at waist height when ambulating is incorrect because the drainage bag should always be kept below the level of the bladder to prevent urine from flowing back into the bladder, which could lead to a urinary tract infection (UTI).
C) Securing the tubing with adhesive tape to the lower abdomen is correct because it helps prevent accidental pulling or tugging on the catheter, which could cause discomfort or dislodgement. Properly securing the tubing also helps maintain a continuous flow of urine and reduces the risk of infection.
D) Collecting a sterile specimen from the urinary drainage bag is incorrect because urine in the drainage bag is not considered sterile. If a sterile specimen is needed, it should be obtained by cleaning the catheter's sampling port with an antiseptic solution and withdrawing urine directly from the port using a sterile syringe.
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