Michael George, 78 years old, has left-sided hemiplegia related to a cerebrovascular accident (CVA) 1 month ago. He has been very depressed and noncompliant with the physical therapy regimen

Which of the following nursing interventions is important to initiate to prevent immobility for Mr. George?
a. Force him to participate in the activity pro-gram
b. Walk him to the bathroom before and after meals and before bedtime
c. Refer him to the facility social worker for counseling
d. Change his activity program to activities he can do in his wheelchair


B
Ambulating Mr. George daily would facilitate his mobility, even if he is not following the physical therapy program. Forcing Mr. George to participate in the physical therapy program (response A) is inappropriate if he chooses not to participate. Referral to the social worker (response C) and providing him with activities that he can do in his wheelchair (response D) are appropriate nursing interventions but would not prevent immobility.

Nursing

You might also like to view...

When the nurse is evaluating the effectiveness of nursing interventions, which of the following is done?

a. Comparing nursing diagnoses to goals and outcomes b. Comparing nursing diagnoses to medical diagnoses c. Comparing goals and outcomes to client's progress d. Comparing medical orders to client vital signs data

Nursing

The nurse is instructing a pregnant patient to consume a diet high in complete proteins. Which food item should the nurse recommend as an example of a complete protein?

A) A boiled or fried egg B) Green, leafy vegetables C) A slice of whole grain toast D) Applesauce or a whole apple

Nursing

The pediatric nurse examining the eyes of a child notes that the eye turns toward the midline of the face or nose. The nurse knows that this condition is a form of strabismus known as ___________

Fill in the blank(s) with correct word

Nursing

When the nurse offers to "just sit here with you" after a particularly painful procedure, a home-less client asks, "Why would you want to do that?" The nurse recognizes that the client most likely:

1. Prefers to be alone at this time 2. Does not have a need for companionship 3. Perceived the offer as being inappropriate 4. Finds it difficult to understand the nurse's concern

Nursing