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","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.

A. Withdraw the medication into a syringe and label it with the client's name. B. Place the vial with the remainder of the medication into a locked drawer. C. Throw the vial into the trash in the presence of another nurse. D. Ask another nurse to witness the medication being discarded.

Correct Answer is D

Explanation

D. This action ensures accountability and adherence to medication administration and disposal protocols. Having another nurse witness the disposal of the remaining medication provides an additional layer of verification and documentation, promoting safety and preventing medication errors or diversion.
A. This option is not appropriate because once medication is withdrawn from a vial, it should not be stored for future use due to the risk of contamination and loss of sterility.
B. This option is not appropriate because storing medication in a vial for future use is not recommended. Additionally, keeping medication in an unlocked drawer may pose a risk of unauthorized access or medication errors.
C. Discarding the vial into the trash without proper witness or documentation is not recommended as it may not ensure proper disposal or accountability.

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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

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

The nurse is preparing to administer lorazepam 1.5 mg IV to an anxious preoperative client. The medication mg/mL vial. Which action should the nurse perform with the remainder of the medication?

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.