A client with ankylosing spondylitis has severe kyphosis. The nurse planning care for this client would provide priority interventions to
a. create a safe environment.
b. consult with physical therapy for an exercise regimen.
c. encourage a high-calorie diet with vitamin supplements.
d. use meticulous technique when changing surgical dressings.
A
The client with severe kyphosis has seriously impaired visual function because of the loss of range of motion in the neck. The nurse needs to create an environment that is safe for the client who is ambulatory.
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A client has undergone intestinal surgery and now has an incontinent ostomy. The use of which of the following products by the client indicates that the discharge learning goals have been achieved?
1. A powder for a yeast infection 2. Peroxide to toughen the peristomal skin 3. A commercial deodorant around the stoma 4. Alcohol to cleanse the stoma
Contractures and deformities develop very slowly after paralysis occurs.
Answer the following statement true (T) or false (F)
Different shapes and colors found in the concept map
a. aid in critical think-ing activities c. describe nursing care b. are used for subjec-tive data only d. have meaning
A patient arrived at the emergency department after tripping over a rug and falling at home. Which finding is most important for the nurse to communicate to the health care provider?
a. There is bruising at the shoulder area. b. The patient reports arm and shoulder pain. c. The right arm appears shorter than the left. d. There is decreased shoulder range of motion.