The nurse adds interventions for range-of-motion (ROM) and isometric exercises for the new patient with a stroke. The nurse's reasoning stems from her awareness that contracture formation may begin with how many days of immobilization?
a. 1 day
b. 2 days
c. 3 days
d. 10 days
C
Contracture-related muscle changes occur as early as 3 days of immobilization.
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The nurse identified the members of the planning group for the community health program. The next step the nurse should take is to:
1. Prioritize the issues. 2. Analyze the issue. 3. Develop the program. 4. Start the evaluation.
A client undergoing alcohol rehabilitation decides he will take disulfiram to help him avoid
impulsively responding to drinking cues. Discharge teaching for the client should include the need to (more than one answer may be correct) A. read labels of all liquid medications. B. avoid aged cheeses. C. avoid alcohol-based skin products. D. wear sunscreen and avoid bright sunlight. E. maintain and adequate dietary intake of sodium. F. refrain from eating foods prepared with alcohol. G. avoid breathing fumes of paints, stains, and stripping compounds.
Which of the following are reported to the nurse?
a. Respirations that are quiet, effortless, and regular b. Noisy respirations c. Clear, thin sputum d. Consistent vital signs
Those over the age of 65 should receive which of the following immunizations?
A) Pneumonia shot and annual influenza vaccine B) Shingles, pneumonia, whooping cough, and annual influenza vaccine C) Pneumonia, whooping cough, and annual influenza vaccine D) Whooping cough, shingles, and annual influenza vaccine