The nurse adds range of motion exercises to a client's care plan when it is determined that the client is in a persistent vegetative state. This is done to prevent:
1. The muscles from becoming permanently shortened
2. The muscles from wasting away
3. The muscles from becoming flaccid
4. The client from losing body mass
1
Rationale: Flexor muscles are stronger than extensors, so when a person is inactive, the joints become pulled into the flexed position. Constant immobility causes muscles to shorten permanently and become fixed in the flexed position
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Your patient, who is 42 years old, has requested a routine physical examination and states that she has not had one for several years.You observe a cauliflower-like lesion on the patient's cervix, which can indicate
a. carcinoma of the cervix. c. ectropion. b. cervical polyp. d. obstruction of the cervical glands.
A patient who has a history of episodes of road rage thinks that she is a very good driver and doesn't understand why she keeps being told she is a poor driver
She will lose her license now, and she tells you that she is feeling very unhappy and abandoned. She feels like she might hurt herself. The nurse realizes that the patient is exhibiting: 1. narcissistic personality disorder. 2. paranoid personality disorder. 3. schizoid personality disorder. 4. borderline personality disorder.
The client at 39 weeks' gestation is undergoing a cesarean birth due to breech presentation. General anesthesia is being used. Which situation requires immediate intervention?
1. The baby's hands and feet are blue at 1 minute after birth. 2. The fetal heart rate is 70 prior to making the skin incision. 3. Clear fluid is obtained from the baby's oropharynx. 4. The neonate cries prior to delivery of the body.
Protective body mechanics rules include:
A) use good posture B) position your body close to the load being lifted C) bend your knees D) all of the above