The nurse considering interventions for the outcome of prevention of contractures in a spinal cord–injured patient will include which of the following in the nursing care plan?
1. Apply cold wraps to the limbs twice a day.
2. Perform full range of motion every 2 hours.
3. Use significant tactile stimuli each shift.
4. Apply splints to the limbs.
4
Applying splints will reduce contractures. Cold application, agitation of the limb with ROM exercises too frequently, and tactile stimuli increase spasticity.
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The nurse working on an inpatient psychiatric unit admits a client diagnosed with antisocial personality disorder
After obtaining admission data from the client, the nurse plans care to include: (Select all that apply.) Standard Text: Select all that apply. 1. Careful monitoring of the new client's interaction with others on the unit. 2. Consistency in staff assigned to care for this client. 3. Strict limit-setting, with the rules carefully explained and written for the client. 4. Involvement in group therapy. 5. Encouraging socialization with other clients on the unit
What is true about excessive pain in labor?
a. It usually results in a more rapid labor. b. It is considered to be a normal occurrence. c. It may result in decreased placental perfusion. d. It has no effect on the outcome of labor.
Risk factors for labor dystocia include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Tall maternal height 2. Labor induction 3. Small-for-gestational-age (SGA) fetus 4. Malpresentation 5. Prolonged latent phase
A clinic nurse is discussing an acne medication regimen with an adolescent client. Which statements by the adolescent represent common problems with adherence?
1. "I was taking the medicine for a while, but it didn't seem to be working." 2. "I took it the first month but my mom got busy and kept forgetting to get my refill." 3. "I felt nauseous whenever I took the medicine." 4. "The nurse explained everything to me so that I could understand." 5. "I only have to take the medication once a day."