What technique should the nurse implement to move the impaired legs of a patient with an SCI to avoid stimulation muscle spasm?
a. Firmly grasping the calf muscle and the thigh muscle
b. Manipulating the limb by supporting the knee and ankle joints
c. Holding the foot upright and slowly drag-ging the limb into position
d. Requesting assistance to support the calf and thigh
B
Undue muscle stimulation can cause spasticity. Using the joint locations to support limbs when repositioning them reduces likelihood of spasticity.
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The nurse would examine a child with low-set ears for anomalies in which organ that formed at the same time as the ears in embryonic development?
a. heart c. liver b. kidneys d. lungs
Adults and children display different physiologic responses to injury and acute illness. An important concept to remember when assessing infants and children is that they:
a. experience lethal arrhythmias first, pro-gressing to respiratory failure. b. usually experience cardiac arrest before respiratory failure. c. usually experience respiratory arrest before circulatory failure. d. tolerate greater volume changes, with less severe consequences.
Identify the action by the nurse that is most appropriate when caring for a client hospitalized with chronic schizophrenia who has been taking clozapine (Clozaril) for the past 2 weeks
a. Limit the client's fluid intake to 500 mL per day. b. Check the client's white blood cell count and differential every week. c. Obtain a serum cholesterol every month. d. Make sure the client spends at least 30 minutes outside in the sun each day.
A nurse teaches an older adult man to perform pelvic floor muscle exercises (PFME)? Which of the following should be included in a nurse's instructions?
A) Interrupt the flow of urine several times each time you urinate. B) Identify the correct muscle by making the base of your penis move up and down. C) Contract your legs and buttocks while contracting the pubococcygeal muscle. D) Perform the exercise while standing over the toilet.