A patient is admitted to the Neuro ICU with a spinal cord injury. In writing the care plan the nurse plans that contractures can be prevented by what?
A) Repositioning the patient every 2 hours
B) Initiating range-of-motion exercises 1 week following the injury
C) Initiating range-of-motion exercises 48 hours after the injury
D) Performing range-of-motion exercises once a day
Ans: C
Feedback: Contractures develop rapidly with immobility and muscle paralysis. The exercises can be implemented within 48 to 72 hours after the injury. The exercises should ideally be preformed five times a day. Repositioning alone will not prevent contractures.
You might also like to view...
Which statements regarding newborn screening programs would the nurse recognize as supporting the ethical principle of autonomy?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Mandatory newborn screening programs should be standardized across all states. 2. Parents should have the right to decide if their infant will undergo newborn screening. 3. Newborn screening identifies some treatable conditions and serves to improve the life of the child. 4. Newborn screening identifies some treatable conditions and serves to improve the health of the nation. 5. Ideally the parents would decide which newborn screens are performed.
A patient's test results indicate an A1C measurement of 6.2%. A nurse identifies that the patient is at risk for
1. Pancreatic disease. 2. Jaundice. 3. Diabetes. 4. Impaired kidney function.
A nurse states to a client, "Things will look better tomorrow after a good night's sleep." This is an example of which communication technique?
A. The therapeutic technique of "giving advice" B. The therapeutic technique of "defending" C. The nontherapeutic technique of "presenting reality" D. The nontherapeutic technique of "giving false reassurance"
The home care nurse visits a patient who has dyspnea. The nurse notes the patient has pitting edema in his feet and ankles. What additional assessment would the nurse expect to observe?
A) Crackles in the lower lobes B) Inspiratory stridor C) Expiratory stridor D) Wheezing in the upper lobes