Exhibits

Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.

Answer and Explanation

The Correct Answer is []

Given the post-operative status and the need for physical therapy to increase mobility, the most appropriate type of exercise for the client at this stage would likely be isometric exercises. Isometric exercises involve muscle contractions without joint movement, making them suitable for early-stage rehabilitation after surgery or injury. They help in strengthening muscles without putting too much stress on the healing tissues.

Monitoring endurance can help assess the client's overall strength and stamina, providing insights into their progress during rehabilitation. Monitoring pain is crucial to ensure that the exercises are not causing excessive discomfort or exacerbating pain post-surgery. Pain can indicate potential issues with healing or inappropriate intensity of the exercises.

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Correct Answer is B

Explanation

B. Neuropathy can lead to decreased sensation in the feet, making the client less aware of potential injuries or skin breakdown. As a result, there is an increased risk for impaired skin integrity, including the development of pressure ulcers, blisters, or wounds. Promoting foot care is essential to prevent complications such as foot ulcers or infections.
A. Neuropathy can compromise the body's ability to detect injuries or wounds in the feet, increasing the risk of infection if injuries go unnoticed or untreated. However, while infection is a concern, the primary issue with neuropathy-related foot care is the risk of impaired skin integrity.

C. While self-care deficits may be addressed as part of the client's overall care plan, it is not the priority at this time compared to preventing skin breakdown and potential complications.
D. While impaired mobility may contribute to increased pressure on the feet and potential skin breakdown, the priority is addressing the immediate risk of impaired skin integrity due to neuropathy- related sensory deficits.

A. Review the advanced directive document. B. Irrigate the nasogastric tube with water. C. Elevate the head of bed 45 degrees. D. Perform oropharyngeal suctioning.

Correct Answer is D

Explanation

A. Reviewing the advance directive is important but not the immediate priority in an acute situation.
B. Irrigating the nasogastric (NG) tube with water is not the priority action in this scenario.

C. Elevating the head does no address teh client's concern of choking and risk of apiration,
D. Performing oropharyngeal suctioning prevents aspiration of gastric content into the airway

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Exhibits Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a history of neuropathy who reports increasing numbness and tingling in the lower extremities. Which problem should the nurse determine is the priority for promoting foot care at this time?

Correct Answer is B

Explanation

A hospitalized client who has an advance directive and healthcare power of attorney is receiving enteral nutrition through a nasogastric (NG) tube. The client vomits and appears to be choking. Which action should the nurse take?

Correct Answer is D

Explanation

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Exhibits

Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.