The nurse will include which intervention for the patient newly admitted with cellulitis of the right foot?

Encourage frequent ambulation

Maintain foot in a dependent position.

Apply warm, moist heat

Wrap the foot snugly in the blanket

Answer and Explanation

The Correct Answer is C

A.   Ambulation may worsen the condition as it could increase swelling or spread infection.
B.   This may increase swelling and should generally be avoided in cellulitis.
C.   This helps to improve circulation and reduce swelling in cellulitis.
D.   Wrapping the foot tightly could exacerbate swelling and discomfort.

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Correct Answer is A

Explanation

A. Brudzinski's sign is a clinical sign of meningeal irritation where passive neck flexion causes involuntary flexion of the hips and knees. It is a positive sign of meningitis.
B. Bradykinesia refers to slow movement, commonly associated with Parkinson’s disease.
C. Nuchal rigidity is stiffness in the neck, a sign of meningitis, but it does not describe the involuntary leg movement seen in this case.
D. Kernig's sign involves resistance to extending the leg while the hip is flexed, not the involuntary flexion of the legs.

A. Dim lighting installed throughout the house. B. The hot water heater is set at 54°C (130° F). C. Medications are stored in a clear bag. D. Grab bars are installed in the bathroom. E. Area rugs are placed in the living room.

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

Explanation

A. Dim lighting installed throughout the house: Poor lighting increases the risk of falls and accidents, especially after a stroke.

B. The hot water heater is set at 54°C (130° F): Hot water set at this temperature can lead to burns, posing a safety hazard.
C. Medications are stored in a clear bag: This is not a safety hazard; however, medications should be stored properly and organized for easy access.
D. Grab bars are installed in the bathroom: This is a safety feature that helps prevent falls and should be encouraged.
E. Area rugs are placed in the living room: Rugs can pose a tripping hazard, especially for stroke patients who may have mobility issues.

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The nurse will include which intervention for the patient newly admitted with cellulitis of the right foot?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has meningitis and notes when passively flexing the client's neck there is an involuntary flexion of both legs. Which of the following conditions is the client displaying?

Correct Answer is A

Explanation

A nurse is performing a home safety assessment for a client who has experienced a stroke. Which of the following findings are a safety hazards for the client?

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

Explanation

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Which statement is accurate about the recommendations for BP management after an ischemic stroke?

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when assessing a patient's neurologic status upon arrival to the emergency room, which reliable indicator would the nurse utilize first?

A nurse is monitoring a client who had a cerebral aneurysm rupture. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?