iWhich of the following is the most appropriate nursing intervention for the nursing diagnosis of Impaired physical mobility related to fractured hip?

A) Administer analgesics as required.
B) Place pillow between legs when turning.
C) Monitor vital signs.
D) Assess wound appearance.


Ans: B
Feedback: Placing a pillow between the patient's legs when turning prevents adduction and supports the patient's legs. Administering analgesics is appropriate for the nursing diagnosis of pain. Monitoring vital signs is appropriate for the nursing diagnoses related to hyperthermia, ineffective breathing pattern or impaired cardiac output. Assessing wound appearance would be appropriate for a nursing diagnosis of Impaired skin integrity.

Nursing

You might also like to view...

Factors that will affect the provision of safe, effective care for elderly clients include the fact(s) that

(more than one option may be correct) A. sexual interest declines with aging. B. the elderly are prone to become crime victims. C. aging results in a 50% decline in restorative sleep. D. older adults are unable to learn new tasks.

Nursing

Niacin can be manufactured by the body from the amino acid

a. alanine. b. arginine. c. tryptophan. d. phenylalanine.

Nursing

A nurse is assessing a patient who is experiencing peripheral neurovascular dysfunction. What assessment findings are most consistent with this diagnosis?

A) Hot skin with a capillary refill of 1 to 2 seconds B) Absence of feeling, capillary refill of 4 to 5 seconds, and cool skin C) Pain, diaphoresis, and erythema D) Jaundiced skin, weakness, and capillary refill of 3 seconds

Nursing

A client with schizophrenia exhibits positive and negative symptoms. The nurse anticipates which drug to be prescribed for this client?

1. Chlorpromazine (Thorazine) 2. Clozapine (Clozaril) 3. Haloperidol (Haldol) 4. Clonidine (Catapres)

Nursing