An older patient with arthritis is prescribed to begin an exercise regimen. How should the nurse instruct the patient about exercising?

1. Perform resistive exercises daily with weights.
2. Perform active range of motion to all joints every day.
3. Overstretch all muscle groups for 20 minutes each day.
4. Use high intensity when performing isometric exercises.


2
Rationale: The nurse should instruct the patient to perform resistive exercises twice a week and gradually add weights.

Nursing

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Mr. David, an 83-year-old man, is admitted to your unit after an emergency cholecystectomy (gallbladder removal) under general anesthesia. It has been 12 hours since surgery, and although arousable, Mr. David is still very groggy and sedated

His family is concerned and thinks there is something wrong. As the LPN in charge, you a. Call the physician immediately; the family is right, he should not be groggy 12 hours after surgery b. Decide you will refuse to medicate him for pain if he asks because he is still heavily sedated c. Increase his IV rate d. Explain to the family that because of normal age-related changes, it takes longer for the effects of anesthesia to wear off

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The client is to receive Sandostatin 0.05 mg subcutaneously daily. The medication is available as Sandostatin 100 mcg/1 mL. Which syringe should the nurse use to administer the medication?

A) 3 mL B) Insulin 50 unit C) Insulin 100 unit D) 1 mL precision

Nursing

In conjunction with phototherapy, which intervention is most effective in reducing the indirect bilirubin in an affected newborn?

a. Increase the frequency of feedings. b. Increase oral intake of water between feedings. c. Offer an exchange transfusion. d. Wrap the infant in triple blankets to prevent cold stress.

Nursing

A patient who has just started taking sustained-release morphine sulfate (MS Contin) for chronic arthritic joint pain following a traumatic injury complains of nausea and abdominal fullness. Which action should the nurse take initially?

a. Administer the ordered antiemetic medication. b. Tell the patient that the nausea will subside in about a week. c. Order the patient a clear liquid diet until the nausea decreases. d. Consult with the health care provider about using a different opioid.

Nursing