The nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client's energy without compromising physical or mental health?

Scheduling energy-intensive activities at the time of day when the client has higher energy levels.

Scheduling all activities within a small block of time to allow the client a longer, uninterrupted rest perioD.

Scheduling toilet breaks before and after any other planned activity.

Scheduling the client's hygiene activities and limiting visitors.

Answer and Explanation

The Correct Answer is A

Choice A reason: Scheduling energy-intensive activities at the time of day when the client has higher energy levels is an activity plan that would best conserve the client's energy without compromising physical or mental health because it allows the client to perform tasks when they feel most capable and comfortable, as well as balance rest and activity throughout the day.

Choice B reason: Scheduling all activities within a small block of time to allow the client a longer, uninterrupted rest period is not an activity plan that would best conserve the client's energy without compromising physical or mental health because it can cause fatigue, stress, and frustration for the client, as well as reduce their mobility and function.

Choice C reason: Scheduling toilet breaks before and after any other planned activity is not an activity plan that would best conserve the client's energy without compromising physical or mental health because it can limit the client's fluid intake and output, as well as increase the risk of urinary tract infections or constipation.

Choice D reason: Scheduling the client's hygiene activities and limiting visitors is not an activity plan that would best conserve the client's energy without compromising physical or mental health because it can neglect the client's social and emotional needs, as well as isolate the client from their support system.

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Correct Answer is B

Explanation

Choice A reason: Limiting fluid intake to prevent incontinence is not the highest priority intervention for this client because it can cause dehydration, urinary tract infections, or kidney stones, which can worsen the client's condition and quality of lifE. The client should be encouraged to drink adequate fluids and empty their bladder regularly.

Choice B reason: Providing regular perineal care to prevent skin breakdown is the highest priority intervention for this client because it can prevent infection, irritation, and ulceration of the skin around the genital and anal areas, which can cause pain, discomfort, and complications. The client should be kept clean and dry, and use barrier creams or pads as needeD.

Choice C reason: Administering hypotonic IV fluids is not an intervention for this client because it can cause fluid overload, hyponatremia, or cerebral edema, which can endanger the client's health and safety. The client does not need IV fluids unless they are dehydrated or have other indications.

Choice D reason: Teaching Kegel exercises to strengthen the pelvic floor is not an intervention for this client because it can be ineffective or harmful for clients with reflex incontinence, which is caused by loss of voluntary control over bladder contractions due to spinal cord injury. The client may benefit from other interventions such as bladder training, medication, or surgery.

A. Advances in surgical techniques and procedures B. Sanitation and other public health activities C. Technology increases in the field of medical laboratory research D. Use of antibiotics to fight infections

Correct Answer is B

Explanation

Choice A reason: Advances in surgical techniques and procedures have improved the quality of life and survival rates for many patients, but they are not the main factor for the increase in life expectancy in the twentieth century.

Choice B reason: Sanitation and other public health activities, such as vaccination, safe water supply, sewage disposal, and food safety, have reduced the incidence and mortality of infectious diseases, which were the leading causes of death in the past. These activities have had a significant impact on increasing life expectancy in the twentieth century.

Choice C reason: Technology increases in the field of medical laboratory research have enabled better diagnosis and treatment of diseases, but they are not the primary reason for the increase in life expectancy in the twentieth century.

Choice D reason: Use of antibiotics to fight infections has saved many lives and prevented complications from bacterial diseases, but they are not the most important factor for the increase in life expectancy in the twentieth century. Moreover, antibiotics were not widely available until after World War II, which means they did not contribute much to the increase in life expectancy before that perioD.

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The nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client's energy without compromising physical or mental health?

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Naxlex Comprehensive Predictor Exams

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