Which of the following interventions should the nurse implement to prevent injury to the client with severe osteoporosis?
A. Provide passive ROM to all weight-bearing joints.
B. Use a lift sheet to reposition the client.
C. Place a pillow between the client's knees when in the side-lying position.
D. Position the client as upright as possible when sitting to promote lung expansion.
B
Severe osteoporosis causes such bone density loss that pathologic fractures can easily occur when lifting or pulling a client. Use of a lift sheet when positioning reduces this risk.
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Rejection that occurs within hours after the transplantation and results in immediate graft failure is known as
a. acute rejection. c. chronic rejection. b. intermediate rejection. d. hyperacute rejection.
The nurse is assessing a patient who is prescribed Phenytoin for a seizure condition. Which adverse reaction will the nurse monitor the patient for during the motor-musculoskeletal assessment?
1) Osteoporosis 2) Ataxia 3) Muscle pain 4) Myopathy
The nurse has received orders for a 4 month old with a diagnosis of Volvulus. To provide comfort for the infant, the nurse should:
1. Encourage the mother to hold the infant and provide a pacifier. 2. Keep the infant swaddled tightly. 3. Place the infant in a prone position. 4. Assess the pain level of the infant using the FACES scale.
Body temperature may be affected by
A. mental status. B. mood. C. hydration. D. behavior.