A nurse is caring for a client with a musculoskeletal disorder who is experiencing a significant impairment in the ability to ambulate due to pain. As a result, the client spends a majority of time in bed
Which of the following would the nurse most likely include in the client's plan of care?
A) Changing the client's position every 2 hours
B) Changing the bed linens every hour
C) Encouraging the client to walk with assistance
D) Encouraging the client to exercise with assistance
Ans: A
Feedback:
The nurse should change the client's position every 2 hours and inspect pressure sites for skin breakdown. The nurse need not change linens every hour. Once the client's condition improves, then encouraging ambulation with assistance and exercises would be appropriate.
You might also like to view...
The nurse is releasing a client with dysphagia. What is one thing to teach the client to aid in maximizing oral intake as safely as possible?
A) Serve food and liquids hot. B) Encourage liquids with meals. C) Discourage consumption of alcohol. D) Encourage the client to rest after meals.
The nurse is working with a child who has had skin grafts that are now healed. The nurse realizes that for several months the child will need which of the following to prevent complications?
a. antibiotics c. skin stimulation b. hydrotherapy d. pressure dressings
Which teaching topic is the priority for the nurse who is teaching the family of an infant diagnosed with osteogenesis imperfecta?
1. Cast care 2. Trunk and extremity support during everyday care 3. Postoperative spinal surgery care 4. Traction care
Therapeutic management of nephrosis includes:
a. Corticosteroids. c. Long-term diuretics. b. Antihypertensive agents. d. Increased fluids to promote diuresis.