To prevent footdrop in a patient with a nursing diagnosis of impaired physical mobility, the nurse would implement which of the following?
A) Apply protective boots or padded splints
B) Allow bedding to cover the feet
C) Allow prolonged bed rest so patient may gain energy
D) Enable the patient to turn himself as he feels necessary
Ans: A
Feedback: To prevent footdrop in a patient who is supine in bed, padded splints or protective boots are used to keep the feet at right angles to the legs. The weight of bedding forces the toes into plantar flexion which contribute to footdrop. Prolonged bed rest and incorrect positioning also contributes to footdrop.
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Which of the following nursing interventions should a nurse perform on a client with thrombophlebitis having impaired tissue perfusion?
A) Bend the client's knees. B) Elevate the affected extremity in a straight plane on pillows. C) Apply cold compresses to the area of discomfort. D) Instruct the client to sit and cross the legs at the knee.
Order: Replace every 2 mL of urine output with 1 mL of water via g-tube. The client's urine output is 350 mL. How many mL of water would you administer?
1. 175 mL 2. 350 mL 3. 700 mL 4. 17.5 mL
A patient with symptoms that include nausea, thirst, fatigue, dry mouth, muscle weakness, muscle cramps, and irregular pulse may be experiencing hypokalemia or low ________ level.
Fill in the blank(s) with the appropriate word(s).