The nurse is caring for a patient who has had a stroke. The nurse is concerned the patient will develop contractures. Which intervention should the nurse implement?
a. Use tennis shoes while in bed.
b. Turn the patient onto the affected side, resting on the shoulder.
c. Use paraffin wax for hand soaks.
d. Conduct passive range-of-motion move-ments to the affected extremities.
D
Conducting passive range-of-motion movements will help decrease the risk of contractures. Us-ing tennis shoes in bed helps decrease foot drop. Turning the patient on the affected side, resting on the shoulder, can cause pain. Paraffin wax soaks are often used for sufferers of arthritis.
You might also like to view...
The finding of which of the following conditions in a client complaining of uterine contractions would lead the nurse to determine that the client is in true labor?
A) Decrease in vaginal secretions B) Change in contraction with activity C) Rupture of amniotic membranes D) Decrease in duration of contractions
A nurse is reviewing the data collection of a middle-aged client. When reviewing the status of a middle-aged client's psychosocial development, which activity is the highest priority for the nurse to explore further with the client?
A) Selection of a life partner B) How the client balances the needs of others C) Review of the client's life choices D) How the client has established a sense of self
An interprofessional discharge planning team has received negative feedback from several patients regarding lack of clarity in post-discharge instructions. Which leader statement is most constructive for this team at this point?
1. "All members of this team need to review their own materials for accuracy, conciseness, and thoroughness." 2. "Perhaps some new members should be added to this group to give us some fresh ideas." 3. "I hate to say this, but you all know that we are going to have to put in some long hours figuring out how to get this job done correctly." 4. "We can handle this feedback using our talents and the way we come together to tackle challenges."
A nurse has a prescription to insert a nasogastric tube into the stomach of an assigned client. Which action should the nurse take to insert the tube safely and easily?
A. Placing the tube in warm water B. Hyperextending the head while inserting the tube C. Removing the tube if any resistance to insertion is met D. Asking the client to swallow as the tube is being advanced