A nurse has a prescription to get the client out of bed and into a chair on the first postoperative day after total knee replacement. Which action should the nurse take to protect the knee?
A. Assisting the client into the chair, using a walker to minimize weight bearing on the affected leg
B. Securely covering the surgical dressing with an elastic wrap and applying ice to the knee while the client is sitting
C. Lifting the client to the bedside chair, leaving the continuous passive motion (CPM) machine in place.
D. Applying a knee immobilizer before getting the client up, then elevating the affected leg while the client is sitting
Ans: D. Applying a knee immobilizer before getting the client up, then elevating the affected leg while the client is sitting
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Indicate whether the statement is true or false
The nurse is managing care for a group of substance abusers. The clients have completed group education about the disease of addiction. The nurse determines that learning has occurred when the clients make which statements?
Standard Text: Select all that apply. 1. "A heroin addict can die from heroin withdrawal." 2. "Addiction includes a compulsion to use a mood-altering substance." 3. "Most addicts became addicted from pain medication in a hospital." 4. "Substance abuse depends on complex variables." 5. "There is most likely a genetic component to addiction."
The nurse provides care for elderly clients in an assisted living facility. What does the nurse assess as a primary contributing factor for drug toxicity in the elderly?
A. Older adults often abuse alcohol. B. Older adults are frequently dehydrated. C. Older adults are frequently constipated. D. Older adults have decreased stomach acid.
Which activity should the nurse implement to decrease shearing force on the client with a stage II pressure ulcer?
A) Support the client from sliding in bed. B) Lubricate the area with skin oil. C) Improve the client's hydration. D) Pull client up under the arms.