The nurse implementing a plan of care for a patient admitted with a spinal cord injury knows that contractures can be prevented by:
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. Exercise should be implemented within 48 to 72 hours after the injury and should ideally be performed 5 times a day. Repositioning alone will not prevent contractures.
You might also like to view...
A home care referral can be made by all of the following individuals except
A. Physician. B. Family member. C. Nursing assistant. D. Friend.
Congenital disorders refer to conditions that are present at birth. These disorders may be inherited and caused by environmental factors or maternal malnutrition
Toxic exposures have the greatest effect on development between 15 and 60 days of gestation. For the nurse to be able to conduct a complete assessment of the newly pregnant patient, she should understand the significance of exposure to known human teratogens. These include (choose all that apply): a. Infections. b. Radiation. c. Maternal conditions. d. Drugs. e. Chemicals.
To accommodate the enlarging uterus of pregnancy, chest changes result in:
a. intercostal muscle atrophy. b. lowering of the resting diaphragm. c. a decrease in alveoli expansion. d. an increase in the subcostal angle.
What is one purpose of documentation of the health assessment?
A) to identify the nurse's role in healthcare B) to identify actual and potential health problems C) to expand nursing knowledge and skills D) to provide a basis for evidence-based nursing