The nurse is caring for an immobile patient. Which of the following may help reduce the hazards associated with immobility? (Select all that apply.)
a. A high-fiber diet
b. Frequent repositioning
c. Muscle and joint exercises
d. Increased fluid intake
A, B, C, D
Frequent repositioning, deep breathing and coughing exercises, muscle and joint exercises, increased fluid intake, and dietary intake of foods containing fiber are examples of measures that help to reduce the hazards of immobility.
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The client was recently diagnosed with venous insufficiency. Which of the following statements by the client are consistent with this diagnosis? Standard Text: Select all that apply
1. "My legs are so cold that they feel like ice.". 2. "My ankles and feet are always swollen.". 3. "The skin on my leg looks so pale.". 4. "When I walk around a lot, my legs just ache.". 5. "I have an ulcer on my inner leg above my ankle that just bleeds and bleeds.".
The client with diarrhea asks the nurse what he can eat, since every time he eats he has more watery stools. The nurse provides the following information:
A) "It would be best to give your bowel a rest and not eat anything for 24 hours." B) "Try the 'BRAT' diet: bouillon soup, rice, applesauce, and tea." C) "Soft-boiled eggs and toast for several days should help." D) "You need to talk to the dietician about that."
During the assessment of a high-acuity patient, the nurse realizes that the patient has been on a sodium restricted diet which could impact the patient's fluid and electrolyte balance
This information was obtained from which of the following components of the fluid and electrolyte assessment? 1. vital signs 2. history 3. physical assessment 4. laboratory data
You are caring for a patient in orthopedics who has a multiple fracture of the femur. The patient is also diagnosed with borderline personality disorder
Neither you nor any of the patient's family members are able to help the patient feel any pleasure. Inability to feel pleasure is called: A) Hypomania B) Anhedonia C) Anoxia D) Hedonism