All of the following nursing interventions are used to prevent contractures in severely burned clients. Which intervention also provides increased circulation and improved muscle tone?
a. doing active exercise
b. maintaining correct alignment
c. performing range-of-motion exercises
d. supporting limbs with splints and pillows
A
Contractures can be prevented with a program of positioning, splinting, exercising, and ambulating. When repositioning, the client's body must be kept in correct alignment. Use pillows to keep limbs in alignment and splints on limbs to prevent contractures or to immobilize joints following skin grafting. Range-of-motion exercises maintain joint mobility. Whenever possible, encourage active rather than passive range-of-motion exercises. Active exercise increases circulation, maintains joint flexibility, and improves muscle tone. As the client recovers, activities of daily living can be increased and ambulation can be initiated.
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A mother is comparing her child with the neighbor's child who is the same age. The mother is concerned that her child does not have as advanced language skills as the neighbor's child
The nurse assesses the child and determines the language skills are within the range of normal. This nurse would advise the mother that a. speech develops more rapidly in children with siblings. b. some children's talents lie in areas other than language skills. c. the child needs to have a battery of psychological tests. d. the development of language skills varies greatly in children.
Coarse crackles are characterized by crackling or gurgling sounds that
a. occur during both inspiration and expiration. b. mimic the sound caused by rolling hair with your fingers near your ear. c. cannot be cleared by coughing. d. result from air passing through moisture in large airways that reinflate.
The nurse is assessing a patient's gait. Which findings would the nurse consider normal? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The patient walks with a wide base of support. 2. The arms swing according to gait phase. 3. The patient shuffles when walking. 4. The gait is jerky, with quick movements. 5. The patient holds the arms out from the body in slight extension.
A woman who wishes to become pregnant is concerned about the drugs she must take in order to treat a serious medical condition. The nurse reviewing the drug list would be most concerned about which kind of drug?
A. A drug with a long half-life B. A drug with no active metabolites C. A drug with high protein-binding ability D. A drug taken only when needed