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 is the foundation of preparation for ambulation?
A) Desire
B) Strength
C) Exercise
D) Ability
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. Options A, B, and D are incorrect because none of those is the foundation of preparation for ambulation.
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The nurse provides patient teaching about chlorzoxazone (Paraflex) in preparation for the patient's discharge to home. The nurse evaluates the patient understands potential adverse effects when the patient makes what statement?
A) "This drug can cause diarrhea." B) "My urine may turn orange to purple red while taking this drug." C) "My skin may turn yellow but that will go away when I stop taking the drug." D) "After I take a pill it will take 2 to 3 hours before I feel the effects."
The nurse has provided education for a client who will self-administer a twice-daily antidysrhythmic prescription. Which statements made by the client indicate further teaching is needed?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "If I get the flu, I should stop taking the medication until my fever goes down." B. "I should take my doses as close to 12 hours apart as I can." C. "If I forget a dose of the prescription I should take two pills for the next dose." D. "If I can't take the prescription for a couple of days because I am sick, I should call the clinic for advice." E. "I should get my prescription refilled before I am completely out of medicine."
An older patient is worried about having dementia because it takes longer to solve problems, perform multiple tasks, and remember while grocery shopping. Which is the appropriate response by the nurse? (Select all that apply.)
1. "The ability to multitask might decline with age, but this is not an indication of dementia." 2. "Many people have episodic memory problems as they age. These symptoms do not indicate serious cognitive dysfunction." 3. "If it is taking you longer to solve problems than it used to, you may need to be assessed for other signs of dementia." 4. "Forgetting what you wanted to get at the store is a matter of concern. I think you should have a cognitive evaluation." 5. "A decline in mental processing speed is a normal part of aging, so taking longer with problem solving is not unusual as we get older."
The home health nurse helps the family improve the safety of the environment for the 85-year-old male patient with Parkinson's disease who is at risk for falls related to;
a. postural hypotension b. cognitive changes c. altered vision d. altered gait