An 80-year-old client has been transferred from the neurological unit to a rehabilitative unit during her recovery from a stroke. The client's nursing care plan includes Risk for Disuse syndrome
What intervention should be performed to address this risk? A) Use a pressure-reducing device on the client's bed.
B) Encourage the client to limit mobility in order to conserve energy.
C) Provide the client with a low-fat, high-protein diet.
D) Teach the client to limit fluid intake to reduce edema.
A
Feedback:
Pressure reduction is an important component of preventing disuse syndrome. Mobility should be encouraged, not limited. Fluid restriction and a low-fat diet are not necessarily indicated.
You might also like to view...
A patient is started on sulfamethoxazole–trimethoprim (Bactrim) for a urinary infection. What would contraindicate the use of Bactrim with this patient?
A) Liver failure B) Rheumatoid arthritis C) Bone marrow depression D) Congestive heart failure
The client who is 35 weeks pregnant tells the nurse she had some contractions last night but they went away when she got up and walked around. The nurse correctly responds by saying:
1. "Those were probably Braxton-Hicks contractions, sometimes called false labor." 2. "You should have gone to the Labor and Delivery unit when the contractions started." 3. "If that happens again, you should lie down on your left side and drink something with sugar." 4. "If you had contractions last night, it probably indicates it will soon be time to deliver."
A breastfeeding mother tells the nurse she is taking large doses of vitamin C to keep up her energy. What should the nurse warn that large doses of vitamin C can cause in an infant?
a. Diarrhea b. Jaundice c. Colic d. Retinal damage
The nurse notes asymmetry of the iliac crests and gluteal folds while inspecting the spine of a client. The client's spine has a slight curvature to the right, but client denies complaints of pain
Based on this data, which term will the nurse use when documenting this finding in the medical record? 1. Kyphosis. 2. Scoliosis. 3. Spinal list. 4. Lordosis.