A nurse is reinforcing teaching with a client who has arthritis. Which of the following instructions should the nurse include in the teaching?
Sleep on a soft mattress.
Apply ice to the inflamed joint.
Engage in low-impact aerobic exercises
Use fingers to push off from the bed or chair.
The Correct Answer is C
The correct answer is C.
Engage in low-impact aerobic exercises. Low-impact aerobic exercises, such as walking, swimming, or cycling, can help improve joint mobility, muscle strength, and cardiovascular health in clients with arthritis. They can also reduce pain and inflammation by increasing blood flow and oxygen delivery to the joints. The nurse should advise the client to avoid high-impact exercises, such as running or jumping, that can worsen joint damage and pain. The nurse should also recommend sleeping on a firm mattress that supports the spine and joints, applying heat to relax stiff muscles and joints, and using assistive devices or palms to push off from surfaces to avoid putting extra stress on the fingers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason
Re-evaluate the client for an ET cuff leak is not appropriate. While an ET cuff leak could contribute to respiratory distress, the immediate concern is the high-pressure alarm, which indicates increased resistance to airflow. The nurse should address the alarm first and then assess for other potential causes, including an ET cuff leak.
Choice B reason:
Option B: Assess for disconnected tubing is not appropriate. A disconnected tubing is also a potential cause of the high-pressure alarm. However, before checking for disconnected tubing, the nurse should first deliver manual breaths with a resuscitation bag to provide the client with adequate ventilation.
Choice C reason:
Decrease the ventilator flow rate is not appropriate. Decreasing the ventilator flow rate might not be the appropriate action in this situation, as the high-pressure alarm indicates increased resistance, which might require increased flow to overcome. Additionally, the nurse should not delay taking immediate action by adjusting ventilator settings without knowing the specific cause of the high-pressure alarm.
Choice D reason:
When the high-pressure alarm is beeping, and the client is experiencing respiratory distress, it indicates that there is an increased resistance to airflow within the ventilator circuit or the client's airway. This can be a life-threatening situation, and immediate action is required.
Correct Answer is C
Explanation
The correct answer is C. Hearing voices is a common symptom of psychotic disorders, such as schizophrenia. The nurse should first assess if the client is at risk of harming themselves or others due to the content of the voices. This is a priority intervention that can help prevent potential violence or suicide. The other statements are not appropriate as initial responses. A walk outside may not stop the voices and may expose the client to more stimuli that could worsen their condition. Asking the client to listen to the nurse instead of the voices may be perceived as dismissive or challenging by the client. Acknowledging that the voices are real to the client but not to the nurse may help establish rapport, but it does not address the urgency of assessing for safety.
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