The nurse is changing the position of a person with flaccid paralysis. Which action is most important?
a. Change the patient's joint position fre-quently.
b. Refrain from footboard usage.
c. Only move the patient from side to side, not supine.
d. Refrain from using pillows to keep the patient in place.
A
Frequent changes in joint position reduce the incidence of ankylosis.
You might also like to view...
The nurse best maximizes an older adult's potential to avoid developing a postsurgical respiratory infection by
a. walking the patient to the bathroom in-stead of using the bedside commode. b. encouraging compliance with prescribed antibiotic therapy. c. evaluating the patient's ability to effec-tively cough and deep breathe. d. offering fluids every hour while the pa-tient is awake.
The public health nurse is a first responder in a community disaster, secondary to a flood. One section of the town has experienced a loss of water and electricity for 4 days
The nurse's first action to meet the needs of the community at this time should be to: A) Refer the members of the community to a spiritual outreach program B) Provide access to safe food and water C) Inform the fire department of potential risks within the community setting D) Provide an immunization program
A Vietnamese patient's family reports that the patient has wind illness. Which menu selection will be most helpful for this patient?
a. Iced tea b. Ice cream c. Warm broth d. Gelatin dessert
A client is admitted to the hospital. The graduate nurse is completing a nursing assessment and asks the client if he has an advanced directive. The client responds that he doesn't know what an advanced directive is. The registered nurse preceptor would intervene if she heard the graduate nurse inform the client that an advance directive is:
a) A legal document completed by the physician to withhold food and fluids in clients with severe brain injuries b) A legal document, made by the client when he is healthy, that directs others to follow the client's wishes if he is incapacitated c) A legal opinion, instituted by the physician alone, to give the client "do not resuscitate" (DNR) status. d) A legal document that is commonly referred to as a living will and recognized in all North America.