A nurse is caring for a client who has decreased mobility. The nurse should plan to monitor the client for which of the following findings? a. position a trochanter roll under each of the client's hips. Study with Quizlet and memorize flashcards containing terms like The nurse is planning care for a client who has decreased mobility. 2. Hypoglycemia, A nurse is caring for a group of clients. com Oct 25, 2021 路 Impaired physical mobility is a common nursing diagnosis that is often multifactorial. Ask occupational therapy to help the client with activities of daily living. What should the nursing priority be? A. , The nurse is planning care for a client who has decreased mobility. Watch the client for indications of decreased mobility D. A) Neurological assessment B) Incisional drainage C) Urinary output D) Reported pain level E) Gastrointestinal assessment F) Vital signs, A nurse in a provider's clinic is caring for a client who has heart failure. It is one of the most important factors for remaining independent. Which of the following interventions should the nurse plan to implement? A. You assess that the patient has understood the teaching by observing what? A) Patient performs range-of-motion exercises. Which symptom of ARDS should the nurse anticipate will appear within 24 to 48 hours after the initial insult? (Select all that apply. " "Patients with impaired mobility are prone to constipation. With which interprofessional health care team members might the nurse collaborate with? (Select all that apply). Restrict the client's fluid intake. Abduction pillow d. Which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractors? · Place a pillow under the client's knees. Urinary system. Assess the client’s level of activity tolerance and difficulties in mobility. Which of the following body systems should the nurse identify as the greatest risk of complication associated with bone demineralization?. What could cause this variation in color of the urine? a) Blood b) Infection c) Dehydration d) Stasis, A nurse notes that the volume of the client's urinary elimination is less than 300 mL/day. -She has good "Patients with impaired mobility are at greater risk for pneumonia. Assess the physical activity level and mobility of the client. When caring for a patient who has decreased mobility in his lower limbs, to prevent any skin from damaging a nurse should: Keep the skin clean, dry, and moisturized. Which of the following clients should the nurse identify is at She has been experiencing increased nausea and vomiting associated with treatment. Study with Quizlet and memorize flashcards containing terms like he nurse is teaching a class on safe patient handling and mobility. Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the plan of care for a client who has a cerebral aneurysm . A central goal of nursing care following Study with Quizlet and memorize flashcards containing terms like 1. Increased urinary output 4. Increased myelinization C. the client is being evaluated today for a potential sprain in the right ankle. "Let me know if you start to Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has a wrist fracture. Stand at the head of the bed to pull the client up. It includes addressing Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an adult patient diagnosed with a back strain. weight gain in arms and legs, The nurse is planning care for a 52-year-old male client in Study with Quizlet and memorize flashcards containing terms like A nurse is communicating with a client who has aphasia after having a stroke. Always use two personnel to move the client. What could Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client with possible Cushing's syndrome. ", The nurse is planning care for a client who has decreased mobility. This valuable resource provides a wealth of information on nursing assessments, interventions, goals, and nursing diagnoses specifically designed to address self-care deficits. Decreased heart rate 3. Which symptoms are consistent with nerve injury? Select all The nurse would suspect that the patient has what kind of complication?, A student nurse asks the nurse the difference between dehiscence and evisceration. Click the card to flip 馃憜. , The nurse is explaining to A. Chest physiotherapy Study with Quizlet and memorize flashcards containing terms like The nurse applies an alcohol-based hand rub upon entering the client's room. Attain and maintain optimal 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. Which of the following body systems should the nurse identify as the greatest risk of complication associated with bone demineralization?Urinary systemEndocrine systemGastrointestinal systemRespiratory system Study with Quizlet and memorize flashcards containing terms like A client states, "My healthcare provider says my problem with mobility is with my connective tissues. which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractures? a. ) Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who recently injured the right leg while playing basketball. Many hospitals use nurse-driven mobility protocols to encourage early mobility of patients in intensive care units and after surgery. She has been experiencing increased nausea and vomiting associated with treatment. Increased blood pressure 2. She has hot water to bathe in. The nurse is planning care for a client who has limited bed mobility. Immobility, the inability to independently move and change positions, is a major reason why people are admitted to long-term care facilities for assistance to complete their activities of daily living (ADLs You are the nurse caring for a female patient who developed a pressure ulcer as a result of decreased mobility. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with suspected acute respiratory distress syndrome (ARDS). Nursing; Nursing questions and answers; 6. " "Patients with impaired mobility have an increased risk for pressure ulcers. Decreased cognitive function, The diencephalon of the brain consists of the A. Advise the client to wear rubber-soled slippers. Complete the following sentence by using the list of options. ) Shortness of breath Rapid breathing Fluid imbalance Chest x-ray clear of infiltrates Arterial blood When prioritizing care for the client, the nurse should first_____, _____ and _____. deposits of adipose tissue in the trunk and dorsocervical area 4. Primary health care provider (PHCP), Respiratory therapist (RT), Registered dietitian nutritionist (RDN), Registered physical therapist (RPT Jun 16, 2018 路 The positive effects of physical activity on physical and mental health are well known and include weight control, improved balance, flexibility, strength, anxiety reduction and protection from ill health, as well as contributing to independent living and preventing falls. Which of the following pieces of information is the priority for the nurse to provide?, A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. Perform passive range-of-motion exercises every Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a wrist fracture. the client states, "I am not sure how this happened The nurse is planning care for a client who has decreased mobility. What should the nurse do?, Which statement reflects nursing management of the client with expressive aphasia? and more. Hypotension 2. Thick, coarse skin 3. Physical mobility requires sufficient muscle strength and energy, along with adequate skeletal stability, joint function, and neuromuscu-lar synchronization. Which is an internal resource that the client has to help her attain her self-care goals? She has family and friends who help her with self-care. A nurse is assisting in the care of a client. Decreased proprioception B. advise the client to wear rubber-soled slippers. A nurse is caring for a client who is chronically ill and has decreased mobility. Braden score 7. 5 in x 0. She has good mobility around her home. Apr 30, 2024 路 Access this comprehensive nursing care plan and management guide to deliver optimal care for patients facing challenges in performing self-care and activities of daily living. 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 nurse is giving change-of-shift report about a client they admitted earlier that day who has pneumonia. Which of the following statements should the nurse identify as an indication that the client You are the nurse caring for a female patient who developed a pressure ulcer as a result of decreased mobility. " b. 1. The nurse suspects the client has a fat embolism. Avoid arching shoulders forward when sitting. Incorporation of strategies necessary to modify fatigue as part of the daily activities. Reposition the client every 4 hr. , Of the following interventions for the client who is immobile, the nurse will Nursing; Nursing questions and answers; A nurse is caring for a client who is chronically ill and has decrea mobility. C) Lift objects while holding the object a safe Study with Quizlet and memorize flashcards containing terms like To maintain proper posture, it is important to: A. which of the following actions should the nurse take to decrease the clients risk of developing plantar flexion contractures? a. . The nurse is caring for a patient who has decreased mobility. Study with Quizlet and memorize flashcards containing terms like a nurse is evaluating a client after injury to the wrist. See full list on nurseslabs. Study with Quizlet and memorize flashcards containing terms like As adults age, peripheral nerve function and impulse conduction decrease. What action taken by the nurse can assist the client with regaining mobility? a. Ask the client to rate their pain level, A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. A nurse teaches a client with a past history of angina who has had a total knee replacement. With which interprofessional health care team members would the nurse most likely collaborate? Select all that apply. The purpose of early mobility protocols is to maintain the patient’s baseline mobility and functional capacity, decrease the incidence of delirium, and decrease hospital length of stay. a nurse is caring for a client who has decreased mobility. b. The client becomes upset stating, "You did not wash your hands!" Which response by the nurse is most appropriate?, When developing a plan of care for a client who has developed neutropenia secondary to chemotherapy, which of the following would the nurse A nurse is caring for a client who has impaired mobility. Being mobile and able to self-care and fear of falling are important to patients. Azotemia b. Incorporation of pain management techniques into daily life. Oxygen humidification D. A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has urinary incontinence. Bacteremia, A client with end-stage renal disease receives continuous ambulatory peritoneal dialysis. Which of the following Study with Quizlet and memorize flashcards containing terms like A client is experiencing an acute exacerbation of rheumatoid arthritis. 4. Exhibit 1 Nurses' Notes 4 days ago: Client admitted to skilled nursing facility. cerebellum and midbrain. The nurse is caring for a patient who exhibits labored breathing, is using accessory muscles, and is coughing up pink frothy sputum. Which symptoms are most consistent with a bone injury? Select all that apply. which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractures? Place a pillow under the client's knees. A 61-year-old client recently suffered left-sided A nurse is caring for a client who has decreased mobility. What instruction should be given to the assistive personnel who will be caring for this client? Standard Text: Select all that apply. Instruct the client to cough and deep breath every 4 hr. Which assessment finding would be indicative of a stage I pressure ulcer? There is a non-blanching reddened area on the client's coccyx region. 锘緼 nurse is caring for a client. 3. Which of the following statements should the nurse make?, A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. What actions by the nurse are best? (Select all that apply. 0800: Client is admitted to the rehabilitation unit following a stroke. Promote self-care activities. Fluid volume overload b. Frequent change of position C. Main Article: 6 Rheumatoid Arthritis Nursing Care Plans. ) a. C. Encourage the client to perform antiembolic exercises every 2 hr. Proteinuria c. Client receiving tube feeding for nutrition. Performing meticulous skin care D Study with Quizlet and memorize flashcards containing terms like A client is undergoing chemotherapy for ovarian cancer which has metastasized. The major goals for a patient with RA are: Improvement in comfort level. Sleep on the softest mattress possible. In a client with Cushing's syndrome, the nurse would expect to find: 1. A) Producing antibodies B) Absorbing electrolytes C) Maintaining acid-base balance D) Physically repelling pathogens E) Preventing fluid loss, When planning the skin care of a patient with decreased mobility, the nurse is aware of the varying thickness of the epidermis. Perform tasks for the client. The nurse should plan to monitor the client for which of the following early indications of increased intracranial pressure ?, A nurse is planning care for several clients and is considering the clients ' risk for stroke . a nurse is caring for a client who has decreased mobility. Which findings are manifestations of fat embolism? Select all that Study with Quizlet and memorize flashcards containing terms like 2. What should the nurse consider to be a normal, age-related change? decreased or unsteady mobility occasional falls appearance of corns or calluses decreased sensory perception Select all that apply. place a pillow under the client's knees. The client has a stage 1 pressure injury on their left heel. Endocrine system. Client is incontinent of urine and stool. Dermatitis c. Administering ordered analgesics and monitoring their effects C. Keep your knees locked when standing upright. Observe the client for signs of restlessness B. Respiratory system. Monitor the client for facial grimacing C. What will the nurse include? (Select all that apply). Which statement should the nurse include in this client's teaching prior to beginning rehabilitation activities? a. d. , The nurse is caring for a client with a nerve impingement in the lower back area around L4 and L5. What health education should the nurse provide to this patient? A) Avoid lifting more than one-third of body weight without assistance. Which is an internal resource that the client has to help her attain her self-care goals? (Ch. c. Reposition the patient frequently. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures? a. Which intervention is a simple and cost-effective method for reducing the risks of stasis of pulmonary secretions and decreased chest wall expansion? A) Antibiotics B) Frequent change of position C) Oxygen humidification D) Chest physiotherapy Mobility is the ability to move one’s body parts, change positions, and function safely within the environment. The nurse caring for a client with Guillain-Barré syndrome has identified the priority client problem of decreased mobility for the client. 3 cm x 1. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who asks about the purpose of advance directives. The nurse discovers a stage 1 pressure injury on the patient's left heel. The patient has diminished breath sounds in bilateral lung bases. Client has limited mobility and requires full assistance to turn and transfer out of bed. 5 in) area of nonblanchable erythema; skin is intact is correct. 3 cm (0. , A nurse is caring for a client on the orthopedic floor. Which would be the best explanation?, A client has decreased mobility to her left side from a stroke. Apr 30, 2024 路 Nursing care for patients with amputation involves managing pain, providing wound care, promoting mobility and rehabilitation, offering psychological support, educating patients and their families, coordinating care with other healthcare professionals, monitoring for complications, and ensuring long-term follow-up. Hematuria d. What are connective tissues?" Which structure should the nurse include in the response? (select all that apply) A) Bones B) Ligaments C) Tendons D) Muscles E) Cartilage, The family of a client with mobility difficulties asks the A. The nurse on the shift before you has provided patient teaching about pressure ulcers and healing promotion. The client spends most of his day in a reclining chair. ^ *Left heel has 1. 32) -She has the motivation to participate in self-care. 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. Exhibit 3Medical History. Place a turn sheet on the bed. What is the result of this decrease? A. Position a trochanter roll under each of the client's hips. Trochanter roll b. B) Focus on using back muscles efficiently when lifting heavy objects. Reassure the client she will not fall if she gets up. " "Patients with impaired mobility need to have a mechanical soft diet. Which nursing diagnosis should receive the highest priority? 1- Risk for infection 2- Decreased cardiac output 3- Impaired physical mobility 4- Imbalanced nutrition: Less than body requirements, Which of the following would the nurse expect to find in a client with Study with Quizlet and memorize flashcards containing terms like Which of the following is a term used to describe excessive nitrogenous waste in the blood, as seen in acute glomerulonephritis? a. Indicate if the assessment finding is expected, unexpected, or unrelated to the client's fracture. 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 5. Footboard Study with Quizlet and memorize flashcards containing terms like (Select all that Apply) A nurse is caring for a client who is postoperative following abdominal surgery. Consult with the provider about a physical therapy consult. 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. Which intervention is a simple and cost-effective method for reducing the risks of stasis of pulmonary secretions and decreased chest wall expansion? A. medulla oblongata and A nurse is caring for a client who has decreased mobility. Nurses' Notes 4 days ago: Client admitted to skilled nursing facility. A nurse is planning care for a client who is on bed rest. 1 Anything that disrupts this integrated process can lead to impaired mobility or immobility. May 10, 2024 路 Nursing Care Planning & Goals. A nurse is caring for an older adult client at a health care facility. Ask the family if they wish to assist in washing the client's body: This is an appropriate action. A client has been on prolonged bed rest, and the nurse is observing for signs associated with immobility. What are the priority nursing assessments for the nurse to perform prior to notifying the patient's health care provider? (Select all that apply. Which of the following body systems should the nurse identify as the greatest risk of complication associated with bone demineralization? Gastrointestinal system. Increased need for sleep D. Keep you stomach muscles relazed to prevent back spasms. Decreased peristalsis, 2. 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. 1. D. The nurse should place a foot board at the end of the client's bed or apply foot boots to the client's feet to protect the client's heels and decrease the contracture. "Use analgesics before and after activity, even if you are not experiencing pain. Science; Nursing; Nursing questions and answers; A nurse is caring for a client who is chronically ill and has decreased mobility. Client has decreased mobility and is confined to their bed, client only able to communicate with moans. At what location is the epidermal layer thickest? Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client in acute addisonian crisis. Kidney stones d. Study with Quizlet and memorize flashcards containing terms like 1) The nurse is caring for a client who is having difficulty with mobility. Providing an opportunity for the family to participate in postmortem care can be a culturally sensitive and therapeutic approach. B. She has motivation to participate in self-care. A nurse is providing care for a client who has decreased mobility secondary to a recent stroke. 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. By utilizing this guide, you can enhance Apr 30, 2024 路 By determining the appropriate activity level for a client, the nurse can predict whether the client has the strength and endurance to participate in activities requiring similar expenditures of energy. Antibiotics B. Providing comprehensive client teaching; including symptoms of the disorder, treatment options, and expected outcomes B. May 1, 2023 路 Therefore assisting patients with mobility while keeping in mind all barriers to treatment and potential complications are essential to decrease hospital stay and optimize patient care and well being. In assessment of the client, the nurse is alert to a(n): 1. Which of the following A) Scheduled toileting B) Indwelling catheter C) External condom catheter D) Incontinence pads, You are the nurse caring for a female patient who developed a pressure ulcer as a result of decreased mobility. Sheepskin heel pad c. The nurse observes that the dialysate drainage fluid is Study with Quizlet and memorize flashcards containing terms like When collecting a urine sample from a client for examination, the nurse notes that the sample appears reddish-brown in color. awqyxybs zqqp eeklv qzdczgj warbox wabuar mrd gmmvh yzjtv beafr