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 ["A","D"]

Explanation

A. Establishing a regular sleep schedule helps regulate the body's internal clock, making it easier to fall asleep and wake up at the desired times. Consistency in sleep patterns can improve sleep quality and overall sleep hygiene.
D. Avoiding caffeinated beverages late in the day, particularly in the afternoon and evening, helps prevent interference with the natural sleep-wake cycle. Caffeine is a stimulant that can disrupt sleep by delaying the onset of sleep and reducing total sleep time.
B. While medications may be prescribed for sleep disturbances in some cases, they are typically reserved for short-term use and under the guidance of a healthcare provider.
C. Consuming alcohol close to bedtime can disrupt sleep patterns and lead to poorer sleep quality. While warm beverages such as herbal tea or warm milk may promote relaxation, alcohol is not recommended as a sleep aid.
E. While a short nap earlier in the day may be beneficial for some individuals, especially if they are experiencing daytime sleepiness, taking an afternoon nap can disrupt nighttime sleep patterns and worsen insomnia.

A. Use standard precautions and wear a mask. B. Send wound drainage for culture and sensitivity. C. Institute contact precautions for staff and visitors. D. Explain the purpose of a low bacteria diet. E. Monitor the client's white blood cell count.

Correct Answer is ["B","C","E"]

Explanation

B. Sending wound drainage for culture and sensitivity helps identify the specific bacteria causing the infection and determine the most appropriate antibiotic therapy.
C. Instituting contact precautions for staff and visitors is essential to prevent the spread of MRSA to other clients and healthcare workers.
E. Monitoring the client's white blood cell count can provide information about the body's response to infection and the effectiveness of treatment.
A. While using standard precautions, including wearing a mask, is a general practice, it is not specifically required for MRSA unless there is a risk of droplet transmission, which is not typical for MRSA infections.
D. Explaining the purpose of a low bacteria diet (Option D) is not a standard intervention for MRSA infections.

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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

An older adult female client tells the clinic nurse about frequently awakening during the night and not being able to go back to sleep. What action(s) should the nurse suggest to the client to help improve sleep? Select all that apply.

Correct Answer is ["A","D"]

Explanation

A client who is paraplegic is admitted with a foul-smelling drainage from a sacral ulcer. The client is suspected to have a methicillin resistant Staphylococcus aureus (MRSA) infection. Which nursing intervention(s) should the nurse include in the plan of care? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

A nurse administers an opioid analgesic to a postoperative client who also has severe obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving the client alone?

Patient Data Exhibits Review H and P, nurse's notes, flow sheet, laboratory values, orders, and imaging studies. What times should the nurse measure vital signs? Select all that apply.

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 observes a newly employed unlicensed assistive personnel (UAP) checking the temperature of an adult client using a tympanic thermometer. The UAP pulls the client's auricle up and back and prepares to insert the thermometer. Which action should the nurse implement?

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 enters a client's room to perform a physical assessment and finds the client crying. Which response is best for the nurse to provide?

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 demonstrating three-point gait crutch walking to an older adult client who broke a foot while playing soccer with the grandchildren. Which behavior indicates that the client understands proper crutch walking?

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.