The nurse is working with a rehabilitation patient who has a deficit in mobility following a skiing accident. The nurse knows that preparation for ambulation is extremely important

What nursing action will best provide the foundation of preparation for ambulation?
A) Stimulating the patient's desire to ambulate
B) Assessing the patient's understanding of ambulation
C) Helping the patient perform frequent exercise
D) Setting realistic expectations


Ans: C
Feedback:
Regaining the ability to walk is a prime morale builder. However, to be prepared for ambulation—whether with brace, walker, cane, or crutches—the patient must strengthen the muscles required. Therefore, exercise is the foundation of preparation.

Nursing

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Your patient is a? 55-year-old male who is in moderate distress and complaining of chest pain. He states that he experienced an acute onset of? left-sided crushing chest pain while playing basketball with his grandson. He complains of weakness and? near-syncope with exertion. His skin is? pale, cool, and diaphoretic. HR? = 40, BP? = 72/40, RR? = 20, SaO2? = 95%. The monitor shows a? third-degree AV block. Which of the following is most? appropriate?

A. Aspirin, nitroglycerin, and morphine B. Atropine, 0.5 mg, up to 2.0 mg C. Sedation and transcutaneous pacing D. Dopamine at 5 mcg/kg/min

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A client being admitted to the eating disorders unit has a yellow cast to her skin, her hair is limp and

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A client is 27 years old and delivered her first baby yesterday. She and her husband do not want to have another baby for at least 3 to 4 years. The best method of birth control to meet their needs is:

a. withdrawal. b. fertility awareness method. c. combination of condoms and foam. d. vasectomy with a reversal in 3 years.

Nursing

Ms. G is a 40-year-old diabetic who is a professional with a hectic schedule. She has difficulty controlling her blood sugar because she eats out frequently and consumes large amounts of calories from fast food

You suspect that she also enjoys being able to overeat while continuing to lose weight. At her last three clinic visits the provider discussed the importance of good glucose control but today her blood sugar was again 320 and a dipstick for ketones in her urine was positive, a condition referred to as ketoacidosis. You explain that: 1. Uncontrolled glucose resulting in ketoacidosis is a very serious medical problem that can lead to comma or even death. 2. Ketones are a by-product of glucose metabolism and occur in varying amounts in the urine depending on the caloric intake of the client. 3. Ketones are naturally found in large numbers in the urine and are not a sign of pathology. 4. Ketoacidosis results when there is an over compensation of insulin by the body in response to a large consumption of complex carbohydrates.

Nursing