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. Observing the client's ability to ambulate with an upright posture and a smooth, steady gait suggests that the client has adequate mobility and balance, which are essential components of performing ADLs safely. Recording this assessment finding ensures that the client's functional status is documented accurately, which is important for care planning and monitoring changes in functional ability over time.
A. Determining the client's activity tolerance is also important, but it would typically follow after ensuring the safety and recording the baseline ability in performing ADLs.
C. While preventing falls is important, assuming that the client needs to shorten their stride based solely on the observed gait may not be appropriate.
D. Initiating a fall risk protocol may be premature based solely on the observation of an upright posture and smooth, steady gait.

A. Request removal initiated by the Health Information Manager. B. Create an electronic correction after 1400 notes are officially unlocked. C. Make an electronic addendum following the 1400 documentation. D. Enter the occurrence after the 1400 notes and identify as "late entry".

Correct Answer is D

Explanation

D. "Late entry" documentation is a common practice used to indicate that the entry was made after the designated time period. This allows for accurate recording of events while maintaining the integrity of the medical record. By entering the occurrence after the 1400 notes and clearly identifying it as a late entry, the nurse ensures that the information is documented appropriately and is easily identifiable as having been entered after the intended time.
A. This might be appropriate if the previously entered information was incorrect or inaccurate, and it needs to be completely removed from the record. However, it might not be necessary if the information is simply incomplete or if adding an addendum is sufficient.
B. Corrections are typically used to fix errors or inaccuracies in documentation, rather than adding new information that was missed. Adding a correction may not be the best approach for documenting a missed occurrence from a previous time, as it may not provide proper context or clarity.
C. An addendum is typically added to a patient's medical record to provide supplementary information or clarification regarding a specific aspect of the patient's care or condition.

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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 assesses an older adult client's ability to perform activities of daily living (ADLs). When observing the client ambulate. the nurse notes that the client's posture is upright, and the gait is smooth and steady. Which action should the nurse take next?

Correct Answer is B

Explanation

After completing daily charting at 1400, the nurse realizes that a 0900 occurrence was not entered. Which is the best way for the nurse to enter computer documentation of the 0900 occurrence?

Correct Answer is D

Explanation

A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?

A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours PO as needed for cough. The bottle is labeled "Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL." How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.)

The nurse is reviewing the admission assessment of a client with chronic pain. What intervention(s) should the nurse include in the client's plan of care? Select all that apply.

The nurse is caring for a client one-week postsurgery. Which finding should the nurse expect to see if the surgical incision is healing properly?

The nurse is caring for a client who is postoperative and receiving supplemental oxygen at 2 L/minute via nasal cannula. The oxygen saturation is 89%. Which action should the nurse implement?

The nurse plans to use the Situation, Background, Assessment, and Recommendation (SBAR) format of communication during which interaction?

The nurse is teaching the client to self-administer a dose of low molecular weight heparin SUBQ. Which instruction should the nurse include?

The nurse is teaching a client about a newly prescribed medication. To confirm that the client is learning the critical information, which strategy is most important for the nurse to include during the instruction?

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.