The nurse adds to the nursing care plan the intervention that will help preserve joint mobility in the acute phase of a CVA, which is:
1. pull the limbs on the affected side into a functional position.
2. aggressive full range of motion for all extremities.
3. support affected points in good functional alignment.
4. exercise the limbs every 8 hours.
3
Limbs maintained in a functional anatomical position and gently exercised (never pulled) into an acceptable range of motion several times a shift will maintain optimal mobility.
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An IV of D5W 500 mL was ordered to be infused over 10 hours at a rate of 13 gtt/min. The administration set delivers 60 gtt/mL. After 3 hours, you notice that 300 mL of IV solution is left. Recalculate the gtt/min for the remaining IV solution. _____
a. 43 b. 11 c. 25 d. 4
A woman who professes to be a strict vegetarian voices concerns about her ability to meet the nutritional needs of her fetus. Which concerns should be addressed in this session?
A) Her diet will need to have an increase in fruits and vegetables to meet the nutritional requirements of her baby. B) The supplementation of Vitamin B12 should be addressed. C) There are not special concerns for vegans as they can easily meet the dietary requirements without violating their "no meat" rules. D) She should be advised to forgo her beliefs during the pregnancy to adequately provide the nutritional requirements for her pregnancy.
A client with a diagnosed abdominal aortic aneurysm (AAA) develops lower back pain radiating to the groin. What is the nurse's interpretation of this information?
a. The aneurysm clotted and is obstructing blood flow. b. The aneurysm is expanding and is preparing to rupture. c. The client feels the inflammation of the aneurysm. d. This is a normal sensation associated with an AAA.
Which of the following factors is not necessary to review when obtaining informed consent?
a. risks of the procedure c. alternatives to the procedure b. benefits of the procedure d. cost of the procedure