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A nurse is caring for a client who has limited mobility in his lower extremities
A nurse is caring for a client who has limited mobility in his lower extremities. 2. Before attempting to move a client up in bed, the nurse should review the medical record and the nursing plan of care. She has been experiencing increased nausea and vomiting associated with treatment. Disuse osteoporosis C. Perform a musculoskeletal assessment. com A nurse is caring for a client who has limited mobility in their lower extremities. client is orientated to person, place, and time. Restrict the client's fluid intake. When planning this patients care, what intervention should the nurse avoid? A) Scheduled toileting B) Indwelling catheter C) External condom catheter D) Incontinence pads, 2. Self-care A nurse is caring for a client who has an electrical burn. Palpate joints for pain, swelling, change in temperature, and range of motion. MUSCULOSKELETAL ASSESSMENT INTRODUCTION. Among the options provided, having the client use a trapeze bar when changing positions is the most suitable. hemodynamic changes related to tilt table positioning 2. Which nursing interventions would be included on the plan of care? a)Provide only passive range of motion (ROM), and decrease stimulation. The nurse identifies that the client is at risk for what? Stroke Falls Pressure ulcers Impaired mobility a. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. Keep the container of solution at a level to maintain client comfort. Instruct the client to cough and deep breath every 4 hr. Which of the following explanations should the nurse provide? a. Peripheral vascular disease 6 Study with Quizlet and memorize flashcards containing terms like A nurse is planning an in-service training session about nutrition. The nurse has provided instructions regarding specific leg exercises for the client immobilized in right skeletal lower leg traction. Apr 30, 2024 · The following are the nursing priorities for clients needing assistance with self-care needs and have ADL limitations: Limited physical mobility. Which action should the nurse take?, A nurse is planning care for a client who experienced a stroke in the right hemisphere of his brain. The brain MRI reveals an infarct. Which of the following actions should the nurse identify as an indication of correct use?, a Study with Quizlet and memorize flashcards containing terms like 1. " Study with Quizlet and memorize flashcards containing terms like A client is undergoing chemotherapy for ovarian cancer which has metastasized. Use warm water when bathing the client. The client exhibits signs of autonomic hyperreflexia. Place a turn sheet on the bed. The nurse understands these symptoms to be suggestive of which of the following findings?, A client is hospitalized when presenting to the emergency department with right-sided weakness. Neuro Assessment B. Which of the following actions should the nurse take to prevent skin breakdown? 1) Place the client in a prone position for most of the day 2) Encourage the client to frequently change positions 3) Apply pressure to bony prominences with the palm of the hand 4 May 20, 2024 · A nurse is caring for a client who has limited mobility in their lower extremities. Prioritizing interventions to improve mobility and providing assistive devices is crucial. expected, unexpected, or unrelated to clients fracture?, A nurse is caring for a client who has undergone an open reduction internal fixation to correct a fracture. What are some actions that the nurse should take to prevent skin breakdown? An 86-year-old woman is admitted to the unit with chills and a fever of 104 degree F. C. Request that a respiratory therapist discuss the technique for incentive spirometry. This service began with the client's admission to the hospital. Which of the following should the nurse suspect the client is experiencing? A. Document actions and observations. Urinary output D. For which client should the nurse anticipate an order for administering 1000 mg of aspirin? A) A 68-year-old client with rheumatoid arthritis who is experiencing hand pain B) A 5-year-old client who is experiencing ankle pain after a fall from a horse C) A 38-year-old client who is experiencing headache pain after a skiing accident D) A 70-year Study with Quizlet and memorize flashcards containing terms like A nurse in a long term care facility is reviewing prescriptions for a client receiving mechanical ventilation. Learning Objectives. 32) -She has the motivation to participate in self-care. c)Encourage coughing and deep breathing, and limit fluid intake. Peripheral vascular disease 6 Study with Quizlet and memorize flashcards containing terms like The client returns to the provider's office 3 days later. 1. The nurse assesses which factors that can put this client at risk for amputation? Select all that apply. pdf from NURSING FUNDAMENTA at Rasmussen College. a client who has limited mobility in his A nurse is caring for a client who has limited mobility. Sep 17, 2023 · In caring for a client who has limited mobility in his lower extremities, the nurse needs to consider strategies for preventing skin breakdown, which is a common issue in such cases. Massage reddened areas over bony prominences. the client states, "I am not sure how this happened. Turn him regularly. ) Positioning the chair slightly behind the nurse so that the seat faces the client's bed. Exhibit 1: Nurses' Notes Day 1, 0900: Client is 65-year-old who reports pain and burning on urination. Decreased cognitive function, The diencephalon of the brain consists of the A. 4. " Client alert and oriented x 3. Which of the following actions should the nurse take first? A. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is on bed rest for a month. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to transfer a client who has left-sided weakness from the bed to a chair. Joint contracture A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. ) The client capillary refill less than 3 sec in one lower extremity & 4 sec in the other The client w/ sharp, stabbing pain in the right lower extremity only when walking The client w/ cyanosis of the right lower extremity The client w/ bilateral lower extremity edema but slightly greater in the Jan 28, 2024 · Final answer: To prevent skin breakdown in a patient with limited mobility, a nurse should apply pressure-relieving cushions. Which of the following puts the client at greater risk for developing pneumonia?, a nurse is caring for a Study with Quizlet and memorize flashcards containing terms like A home health nurse is caring for a client who has emphysema and has difficulty with mobility. How should the nurse assess body alignment in this client? Select all that apply. Flexing and extending the feet 3. the client is being evaluated today for a potential sprain in the right ankle. Oct 25, 2021 · Impaired physical mobility is a common nursing diagnosis that is often multifactorial. A nurse is planning care for a client who is on bed rest. Always use two personnel to move the client. Which of the following actions should the nurse take to prevent skin breakdown? A nurse is caring for a client who has limited mobility in their lower extremities. Reported pain lvl E. Which of the following pieces of information should the nurse include?, as a nurse is preparing to administer liquid medication from a bottle to a client. Explanation: Positioning the arms across the chest improves assistance, reduces friction, and prevents hyperextension of the neck. A client who has been lying prone reports shortness of breath and a sensation of choking. A medic is caring for a client who has limited mobility in his lower extremities. Pulselessness Pallor Reflexes Sensation Movement, The nurse is caring for a client in the emergency department with Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer a cleansing edema to a client. ) Taking over-the-corner medication for arthritis A myocardial infarction 2 years ago Controlling type 2 diabetes mellitus diet Jan 28, 2024 · Final answer: To prevent skin breakdown in a patient with limited mobility, a nurse should apply pressure-relieving cushions. What nursing intervention should be most appropriate to address the nursing diagnosis? Use pressure-relieving devices when the client is in bed or in a Study with Quizlet and memorize flashcards containing terms like As adults age, peripheral nerve function and impulse conduction decrease. which assessment finding demonstrates an injury to the range of motion?, a nurse is caring for a client with a cast on the right forearm. The nurse is caring for a client with multiple areas of skin breakdown on the back. Which of the following actions by the nurse demonstrates correct transfer technique? A. Place a donut-shaped cushion in the client's chair. How should the nurse best position the client?, The nurse is caring for a client who has a lower body injury and who is able to partially assist Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has a wrist fracture. GI Assessment F The nurse is planning care for a client who has limited bed mobility. distended large intestine 4. What are some actions that the nurse should take to prevent skin breakdown?. It is necessary to provide the client with an anti-decubitus mattress, turn the client every 2 hours, and more often if necessary. Study with Quizlet and memorize flashcards containing terms like A client is admitted with weakness, expressive aphasia, and right hemianopia. For which client should the nurse anticipate an order for administering 1000 mg of aspirin? A) A 68-year-old client with rheumatoid arthritis who is experiencing hand pain B) A 5-year-old client who is experiencing ankle pain after a fall from a horse C) A 38-year-old client who is experiencing headache pain after a skiing accident D) A 70-year Study with Quizlet and memorize flashcards containing terms like a nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. The nurse understands that an immobile client may have poor body alignment, which may lead to complications. When caring for a client with limited mobility of the lower extremities, the nurse should be careful not to damage the skin or pressure ulcers. D. correct action is to B)apply pressure-relieving cushions Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with diabetes mellitus who is scheduled to have a right below-knee amputation. 3. The client's family asks the nurse for information about this type of care. Performing active range of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery Exhibit 1 Nurse's Notes: 1100: Client received from PACU; Initial vital signs recorded. A client with right sided hemiparesis has limited mobility. O Have the client use a trapeze bar when changing position. Which action should the nurse include in the plan of care to help maintain skin integrity? A. It can be a temporary, permanent or worsening problem and has the potential to create more significant issues such as skin breakdown, infections, falls, and social isolation. This practice, along with regular repositioning and skin hydration, mitigates the risk of bedsores which are caused by sustained pressure on bony areas. maintain the client in high-fowler's position The nurse will take the precaution of using an electric razor when assisting the client with shaving. Bilateral breath . This tool will allow the client to shift their weight Study with Quizlet and memorize flashcards containing terms like a nurse is evaluating a client after injury to the wrist. Within 6 hours of being admitted A nurse is caring for a client who has limited mobility in their lower extremities. Which of the following interventions should the nurse include in the The nurse is providing care for several clients. Recognize and report significant deviations from norms. Based on these symptoms, the nurse formulates "Impaired physical mobility" as one of the nursing diagnoses applicable to the client. Which of the following physiological responses to prolonged immobility should the nurse expect?, A nurse is reinforcing teaching with a young adult client who has a family history The nurse is providing care for several clients. Perform passive range-of-motion (ROM) exercises. The nurse plans to implement which activities in the care of the client? See full list on nurseslabs. The nurse is providing care for an older adult man whose diagnosis of dementia has recently led to urinary incontinence. Which of the following actions should the nurse take to maintain the client's skin integrity? a. For which client should the nurse anticipate an order for administering 1000 mg of aspirin? A) A 68-year-old client with rheumatoid arthritis who is experiencing hand pain B) A 5-year-old client who is experiencing ankle pain after a fall from a horse C) A 38-year-old client who is experiencing headache pain after a skiing accident D) A 70-year A nurse is caring for a client who has limited mobility. To deselect a finding, click on the finding again. The nurse is caring for a client who has had an open reduction with internal fixation (ORIF) with a posterior approach. Which of the following actions should the nurse take to prevent skin breakdown? A) Place the client in high-Fowler's position. Modify assessment techniques to reflect variations across the life span. Petechiae, which are small red or purple spots on the skin, is associated with severe thrombocytopenia (low platelet count), indicating an increased risk of bleeding. Client can move all extremities. The client spends most of his day in a reclining chair. ) Placing the client's left leg in front of the right The nurse is providing care for several clients. Hold the container of solution level with the client's upper hip A nurse is caring for a client who has limited mobility in his lower extremities. Which of the following interventions should the nurse plan to implement? A. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a recent lower extremity injury. B. To prevent self-injury, which of the following actions should the nurse take when lifting?, a nurse is evaluating a client's use of a cane. What does the nurse recall is the most common cause of this response? 1. Into which position will the nurse place the client?, 3 During assessment, the nurse notes the client has limited movement of his lower extremities and sways when standing with feet together. Stand at the head of the bed to pull the client up. The inability to move freely can affect a client’s ability to perform ADLs and self-care tasks. he is stable, and we will update you with any changes he has an electrical burn, which A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. Doing quadriceps-setting and gluteal-setting exercises 4. massage reddened areas over bony prominences d. Hold the container of solution 30 cm (12 in) above the anus. Increased myelinization C. administration 27. A. Maintain the client in high-Fowler's position. Which of the following actions should the nurse take to prevent skin breakdown? O Place the client in high-Fowler's position. Incisional drainage C. b. Abdominal Nov 2, 2023 · To prevent skin breakdown in patients with limited mobility, a nurse should regularly reposition the patient, keep the skin clean and dry, use pressure-relieving devices, provide nutritional support, and educate the patient about their care. The nurse can request that another team member discuss the use of the spirometer to see if that team member can encourage the client to use it; however, this is not the priority action that the nurse should take. The nurse determines that the client needs further teaching if the nurse observes the client doing which activity? 1. The client has been prescribed hip precautions. Encourage fluid intake. Client states, "I am having trouble making it to the bathroom on time and I'm up throughout the night needing to urinate. 1. Which of the following actions should the nurse take to maintain the client's skin integrity? A. What is the result of this decrease? A. Click to highlight the assessment findings below that the nurse should report to the provider. Study with Quizlet and memorize flashcards containing terms like A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a recent stroke, but his care team wishes to now begin introducing minced and pureed food. Peripheral neuropathy 5. What instruction should be given to the assistive personnel who will be caring for this client? Standard Text: Select all that apply. Increased need for sleep D. In which position will the nurse choose to place the client to improve arterial oxygenation?, 2. Find step-by-step Health solutions and your answer to the following textbook question: A nurse is caring for a client who has limited mobility in his lower extremities. Which assessment finding led the nurse to this conclusion? (Select all that apply. Bony deformity 3. Which of the following actions should the nurse take?, A hospice nurse is reviewing religious practices of a A nurse in a long-term care facility is caring for an older adult client and notes their muscles have become smaller and weaker. place a donut-shaped cushion in the client's chair c. -She has good have the client fold the arms across the chest. Client drowsy but responses to verbal stimuli. Sarcopenia B. , The nurse puts elastic stockings on a client following major abdominal Study with Quizlet and memorize flashcards containing terms like 1. medulla oblongata and Oct 10, 2023 · A nurse is caring for a client who has limited mobility in his lower extremities. The nurse should assess which client for possible deep venous thrombosis? (Select all that apply. Atrophy D. What should the nurse do?, Which statement reflects nursing management of the client with expressive aphasia? and more. Bilateral breath Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with diabetes mellitus who is scheduled to have a right below-knee amputation. . Which is an internal resource that the client has to help her attain her self-care goals? (Ch. Hypoactive bowel sounds. Reposition the client every 4 hr. The nurse is caring for an elderly client with a fractured hip who is on bed rest. Have the client use a trapeze bar when changing position. With the clients permission, the nurse is answering questions from the family about bis status. Study with Quizlet and memorize flashcards containing terms like While conducting an assessment, the nurse concludes that a client is at risk for developing a deep venous thrombosis. Decreased proprioception B. The nurse is planning care for a client who has limited bed mobility. The nurse is providing care for several clients. cerebellum and midbrain. Psoriasis 2. Pulling up on the trapeze 2. correct action is to B)apply pressure-relieving cushions Study with Quizlet and memorize flashcards containing terms like The client returns to the provider's office 3 days later. deteriorating myelin sheath 3. use warm water when bathing the client b. Limited joint mobility 4. B) Have the client use a trapeze bar when changing position. Which of the following actions should the nurse take to prevent skin breakdown? Place the client in high-Fowler's position. Which of the following actions should the nurse take to prevent skin breakdown? 1) Reposition the client every 2 hours 2) Apply lotion to the client's skin 3) Encourage the client to sit for long periods of time 4) Use a pressure-relieving mattress View Fundamentals_Proctored_2020-33. crushed spinal cord, The The client has a diagnosis of multiple sclerosis (MS). You are the nurse caring for a Jan 18, 2024 · A nurse is caring for a client who has limited mobility in his lower extremities. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a spinal cord injury. 13. Encourage the client to perform antiembolic exercises every 2 hr. which of the following responses should the nurse make? he is doing well, although he might be in the hospital for some time he has an electrical burn. For which client should the nurse anticipate an order for administering 1000 mg of aspirin? A) A 68-year-old client with rheumatoid arthritis who is experiencing hand pain B) A 5-year-old client who is experiencing ankle pain after a fall from a horse C) A 38-year-old client who is experiencing headache pain after a skiing accident D) A 70-year A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. Explanation: A nurse caring for a client with limited mobility in their lower extremities can take Study with Quizlet and memorize flashcards containing terms like A nurse is communicating with a client who has aphasia after having a stroke. Message bony prominences. b)Have the client lie as still as possible, and give adequate pain medication. Which of the following interventions should the nurse identify as a priority?, A nurse is contributing to the plan of care for a client who has COPD. During the physical assessment, the nurse should include which components during inspection and palpation of the injury? Select all that apply. A nurse is caring for a client who has limited mobility in his lower extremities.
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