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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Nonverbal behavior, the nurse can gather further information about the presence and intensity of pain. This includes observing facial expressions, body movements, and any other signs of discomfort. It's important to recognize that individuals may not always verbalize their pain for various reasons, such as fear of medication side effects, concerns about being a burden, or communication barriers.
A. Reviewing the pain medications is important but it may not be the immediate priority in this scenario, as the client is currently experiencing pain-related grimacing.
B. Administering pain medication without further assessment of the client's pain or understanding the cause of the grimacing may not address the underlying issue contributing to the client's discomfort.
C. While communication with the client is important, asking about the cause of the grimacing may not provide accurate information, especially if the client is denying pain. Nonverbal cues such as grimacing suggest the presence of pain, which may not be fully acknowledged by the client.
Correct Answer is C
Explanation
C. Demonstrate proper securing of the restraints is the most important action because it educates the UAP and prevents potential complications such as injury, infection, or circulation impairment.
A. Ensure that the restraints are not too tight is an important action, but it is not enough to address the issue of improper securing of the restraints. The nurse should also teach the UAP how to secure the restraints correctly and safely.
B. Complete an adverse occurrence/incident report is not the most important action because it does not correct the immediate problem or prevent harm to the client.
D. Initiate the facility’s restraint flow sheet is an important action, but it is not urgent or critical in this situation. The nurse should document and monitor the use of restraints according to the facility’s policy, but only after ensuring that they are applied correctly and appropriately.
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