The nurse is teaching a patient about the need for continued stretching exercises after discharge from burn treatment. The nurse evaluates that the patient understands what is necessary when the patient makes which statement?
1. "If I stretch, I don't need to use my splints."
2. "If the scar blanches, it means I have stretched too far."
3. "A progressive exercise program will not increase my overall stamina."
4. "Stretching exercises help increase the range of motion in my burned arm."
4
Rationale 1: Immediately after a stretching session, positioning and splinting are used to maintain the elongation of the tissue.
Rationale 2: Blanching of the scar represents appropriate stretching.
Rationale 3: Exercise not only improves joint flexibility but also improves overall stamina.
Rationale 4: Stretching exercises are used to elongate shortened soft tissue.
You might also like to view...
The nurse administers erythromycin, a drug that is known to irritate mucosa in the stomach lining. When the patient reports abdominal discomfort after taking the medication, the nurse would classify this discomfort as what type of adverse effect?
A) Primary action B) Secondary action C) Hypersensitivity reaction D) Allergic reaction
The nurse manager has the task of introducing staff to the use of clinical pathways. The nurse
manager will need to explain that clinical pathways are used in managed care settings to a. identify obstacles to effective care. b. stabilize aggressive clients. c. relieve nurses of planning responsibilities. d. streamline the care process and save money.
An older patient is diagnosed with heart failure. During the health history what will the nurse most likely assess as the patient's first symptom of the disorder?
1. Nausea 2. Dyspnea 3. Anorexia 4. Headaches
An older patient with Alzheimer's disease has wandered away from the home several times. What can the nurse suggest that the spouse do to reduce the patient's risk for wandering? Standard Text: Select all that apply
1. Place car keys on a rack by the front door. 2. Install motion detectors on the door of the patient's room. 3. Remove scatter rugs from the kitchen and bathroom areas. 4. Add slide bolt locks at the bottom of exit doors in the home. 5. Place emergency telephone numbers on the refrigerator door.