A 56-year-old female patient is being seen for osteoarthritis of the knee in the clinic. What should the nurse recommend when discussing strengthening exercises?
a. Jogging
b. Walking rapidly on a treadmill
c. Bicycling
d. Aerobic exercises
ANS: C
Bicycling or swimming is recommended for osteoarthritis of the hip or knee. Jogging would put undue stress on knee joints. Climbing stairs should be avoided. Walking should be done on level ground, not up or down elevations.
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Goals are broad statements of purpose that describe the aim of nursing care. As such, goals:
a. are considered short term if achieved within a month of identification. b. always have established time parameters, such as "long-term" or "short-term." c. are mutually acceptable to the nurse, patient, and family. d. can be vague to facilitate evaluation of achievement.
The nurse has received emergency admission orders for an older adult patient who was severely injured in a fall. The nurse would question the use of which medication in this patient?
1. Digoxin 0.125 mg po daily 2. Diazepam 5 mg po every 6 hours prn agitation 3. Morphine sulfate 2 mg IV every hour prn severe pain 4. Furosemide 20 mg po daily
The client with end-stage cirrhosis presents with GI bleeding, combativeness, and confusion. The nurse anticipates an order to administer which medication?
a. Omeprazole (Prilosec) b. Somatostatin (Octreotide) c. Propranolol (Inderal) d. Lactulose (Heptalac)
For the client who has sustained tracheobronchial trauma, which assessment finding alerts the nurse to the possibility of tracheal lacerations?
A. Hypertympanic sound on affected side B. Subcutaneous emphysema over the trachea C. Hypotension and decreased capillary refill D. Deviation of the trachea to the affected side