The nurse caring for a 78-year-old male client recovering from hip replacement surgery is as-sessing for signs of improvement of the client's activity tolerance. The nurse determined a base-line for ongoing assessments by:
1. Determining how much time it takes the client to recover from an activity
2. Assessing how much the client can do at one time
3. Determining the level of pain experienced by the client during the activity
4. Asking the client how much the client feels like doing
ANS: 1
When the client experiences decreased activity tolerance, carefully assess how much time the client needs to recover. Decreasing recovery time indicates improving activity tolerance. Pain should not be an assessment of activity tolerance. Asking the client how much he feels like doing before an activity will not tell the nurse if he is improving over time. The client may be able to do more (or less) than he thinks he is capable of doing before an activity.
You might also like to view...
The nurse is caring for a client who has just undergone electroconvulsive therapy (ECT). Which of the following is an expected postprocedure manifestation of ECT?
A) Memory deficits B) Severe confusion C) Seizures D) Electrolyte imbalances
__________ is a complementary health practice in which manual pressure is applied to the feet and hands
Fill in the blank(s) with correct word
An infant, age 6 months, has six teeth. The nurse should recognize that this is what?
a. Normal tooth eruption b. Delayed tooth eruption c. Unusual and dangerous d. Earlier than expected tooth eruption
For a woman at 42 weeks of gestation, which finding would require further assessment by the nurse?
a. Fetal heart rate of 116 beats/min b. Cervix dilated 2 cm and 50% effaced c. Score of 8 on the biophysical profile d. One fetal movement noted in 1 hour of assessment by the mother