The nurse explains that, if muscles are not regularly stretched and contracted, the muscles will become:
a. longer and flexed.
b. fibrosed and spastic.
c. shorter and less elastic.
d. shorter and painful.
C
The formation of contractures (shortening of skeletal muscle tissue causing deformity), loss of muscle tone, and fixation of joints can be prevented in most cases by consistent nursing interven-tion. The major components of the intervention are gradual mobilization, an exercise program, proper positioning, and instruction of the patient and family. Within a matter of a few days, the structures of immobilized muscles and joints begin to undergo changes. If no effort is made to prevent these changes, the patient will become permanently disabled.
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The nurse is reviewing a client's blood work, noting the bicarbonate and carbon dioxide levels. Which of the following would the nurse expect to see clinically in the client? Standard Text: Select all that apply
1. With a low pH, and an increased level of carbon dioxide, the rate and depth of respirations will increase to compensate. 2. With a high pH, and a low carbon dioxide, the client might be hyperventilating. 3. With a high bicarbonate, the pH will be higher, and the rate and depth of respirations are reduced in order to retain carbon dioxide. 4. With a high bicarbonate, the pH will be lower, and the depth and rate of respirations will be unchanged. 5. With an increase in the rate and depth of respirations, the pH will increase.
A clinic nurse is providing care for several clients. Which client is at the highest risk for anorexia nervosa?
A) A 16-year-old Hispanic female client B) A 21-year-old Hispanic female client C) A 16-year-old male Caucasian client D) A 22-year-old male Caucasian client
Risk factors tend to be interrelated and cumulative in their effect. While planning the care for a laboring woman with diabetes mellitus, the nurse is aware that she is at a greater risk for:
a. Oligohydramnios. b. Polyhydramnios. c. Postterm pregnancy. d. Chromosomal abnormalities.
An 8-year-old child is being treated for tonic–clonic seizures. What should the nurse emphasize when teaching the parents about this disorder?
A) The child should maintain an active lifestyle. B) Immediately provide medication if a seizure begins. C) Have the child carry a padded tongue blade with her at all times. D) Ensure quiet time late in the day, when seizure activity is most likely to occur.