The nurse is caring for a client who had an amputation of the left leg above the knee. What position can the nurse place the client in several times per day to promote stump extension and prevent contractures?
A) Supine
B) Left lateral
C) Prone
D) Right lateral
C
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Place the client with leg amputation in the prone position several times a day. This position promotes stump extension and prevents contractures.
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You are assigning tasks to nursing assistants in a nursing home. Which would be the most appropriate instruction to give to the assistant who will care for Mrs. Scott, a frail 80-year-old woman with arthritis?
a. Tell the NA to give her a bed bath, comb her hair, and brush her teeth b. Tell the NA to help her use a bedpan c. Tell the NA to "let her do as much as she can for herself," such as brushing her teeth, combing her hair, and walking to the bathroom with assistance d. Tell the NA to be sure to bring Mrs. Scott's meal trays to her bed each day
During a home visit the nurse observes a family member provide care to the client. Which observation should the nurse use to instruct the family member?
1. The family bathes the client with warm, soapy water. 2. The family member pulls the client across the sheets. 3. The family uses pillows for support. 4. The family raises the head of the bed for meals.
Which statement suggests that a parent understands how to correctly administer digoxin?
a. "I measure the amount I am supposed to give with a teaspoon." b. "I put the medicine in the baby's bottle." c. "When she spits up right after I give the medicine, I give her another dose." d. "I give the medicine at 8 in the morning and evening every day."
The client has just received news of the death of a relative. Over the next few hours, what physiologic response should the nurse attribute to the shock phase of the alarm reaction caused by the stress of this event?
1. Drop in blood pressure from 130/80 to 120/75 2. A more bounding pulse 3. Slight increase in urine output 4. Some decrease in oxygen saturation