The nurse is discussing physical methods to help manage balance problems for a client who has been newly diagnosed with Parkinson's disease. Based on current research findings, the nurse suggests the client look into:
1. T'ai Chi exercise.
2. Water aerobics class.
3. Riding a stationary recumbent bike.
4. Active range of motion exercises.
T'ai Chi exercise.
Rationale: The majority of studies on t'ai chi show that it may lead to improved balance and balance awareness, reduced fear of falling, increased strength, increased functional mobility, greater flexibility, and increased psychological well-being, and conclude that t'ai chi may be a viable option for improving balance in patients with mild Parkinsonism. The other options—water aerobics, recumbent biking, and active range of motion—have no proven effect on improving balance.
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The nurse caring for a patient with severe frostbite observes a purple flush on the hands and feet. What is the most appropriate nursing action?
a. Report this sign immediately. b. Place a warm towel over the extremities. c. Gently sponge with cool water. d. Medicate for pain.
The nurse would expect a physician to prescribe which medication to a postpartum client with heavy bleeding and a boggy uterus?
1. Methylergonovine maleate (Methergine) 2. Rh immune globulin (RhoGAM) 3. Terbutaline (Brethine) 4. Docusate (Colace)
Which of the following is the patient care delivery model that emphasizes care at the bedside and is derived from total quality management/continuous quality improvement?
A) Patient-focused/Patient-centered care B) Primary nursing C) Team nursing D) Total patient care
The levels of practice encompassed by the Intervention Wheel are:
a. Communities, individuals and families, and systems b. Assessment, diagnosis, and evaluation c. Primary, secondary, and tertiary d. Communities, populations, and aggregates