The greatest impact of immobilization on a patient depends on the duration, degree, and type of:
1. physical therapy.
2. mobility limitation.
3. nursing care.
4. family support.
2
Duration, degree, and type of mobility limitation have the greatest impact. The other choices may affect the impact once the mobility limitation becomes an issue.
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After administering newly prescribed captopril (Capoten) to a client with heart failure, the nurse implements interventions to decrease complications. Which priority intervention should the nurse implement for this client?
a. Provide food to decrease nausea and aid in absorption. b. Instruct the client to ask for assistance when rising from bed. c. Collaborate with unlicensed assistive personnel to bathe the client. d. Monitor potassium levels and check for symptoms of hypokalemia.
Which of the following is a potential side effect that a client who undergoes single-photon emission computed tomography (SPECT) may suffer from?
A) Headache and pain in the neck B) Claustrophobia C) Allergic reaction to the imaging material D) Allergic reaction to radioactive rays
The nurse has completed diabetic education regarding insulin administration to a 14-year-old child newly diagnosed with diabetes and his family. The nurses knows the teaching was effective if the client and family:
A) can list appropriate sites for insulin administration. B) have demonstrated correct insulin administration over the past several days. C) indicate that they understand proper nutrition for a person with diabetes. D) state that they understand hypoglycemic reaction signs and symptoms.
A patient who has recently been diagnosed with type 1 diabetes mellitus will require insulin therapy. The patient states, "I guess I will have to give up the half bottle of wine I drink at dinner." Which information should the nurse provide?
1. "Wine is not permitted on your diet." 2. "You can drink as much wine as you would like but avoid hard liquor." 3. "Limit your wine to a time when you are eating a complete meal." 4. "Limit your wine to one glass a day." 5. "Milk is a better choice for you so substitute it for wine."