The overall goals in caring for a patient with impaired physical mobility are ___________________________________. (Select all that apply.)
a. increasing the patient's participation in physical activities.
b. preserving the patient's anatomical position and function of joints.
c. increasing the patient's strength and mobility.
d. avoiding unnecessary restraints.
e. using assistive devices to maintain mobility.
ANS: A, B, C, D, E
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The client receives cisplatin (Platinol) as therapy for cancer. Which assessment finding would prompt the nurse to contact the client's physician immediately?
1. A temperature greater than 101°F 2. An elevation in blood glucose 3. Nausea and projectile vomiting 4. A complaint of painful leg cramps
The nurse is providing preoperative care to a patient scheduled for an appendectomy. Which statement regarding pain control is most appropriate?
A) "There's no need to ask for pain medication, you'll receive it on a schedule." B) "Take your pain medication after walking so that you won't feel dizzy." C) "Take your pain medication before your pain becomes intense." D) "Use as little pain medication as possible to avoid addiction."
While conducting a physical assessment, you note that the patient's breathing is rapid and shallow. This type of breathing pattern is known as
a. hyperventilation. c. obstructive breathing. b. tachypnea. d. bradypnea.
When performing a bed bath, a nurse should do which of the following? Select all that apply
1. Cover the patient with a bath blanket. 2. Uncover the entire body when washing. 3. Wash extremities from distal to proximal. 4. Fold the washcloth into a mitt around the hand. 5. Wash from the dirtiest areas to the cleanest areas.