A nurse is caring for an immobile client. What is the priority assessment of this client?

Questions 75

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Multi Dimensional Care | Final Exam Questions

Question 1 of 9

A nurse is caring for an immobile client. What is the priority assessment of this client?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 9

The client has been asked to perform weight-bearing exercises three times a week. The client admits to not doing the recommended exercises. What is the most appropriate response by the nurse?

Correct Answer: B

Rationale: The most appropriate response by the nurse is to ask the client to elaborate on their experience with the exercises. By doing so, the nurse can gain insight into any barriers the client may be facing and work together to find solutions to improve adherence. Choice A is not appropriate as it doesn't address the client's situation. Choice C is not relevant and may induce fear in the client. Choice D is directive and does not promote open communication or understanding of the client's perspective.

Question 3 of 9

Which nonpharmacological intervention does not help reduce edema?

Correct Answer: A

Rationale: The correct answer is A: Heat therapy. Heat therapy can vasodilate blood vessels, increasing blood flow to the area and potentially exacerbating edema. Passive range of motion (PROM), elevation of the extremity, and cold therapy are all beneficial interventions for reducing edema. PROM helps with circulation, elevation assists in reducing fluid accumulation, and cold therapy can help constrict blood vessels and decrease swelling.

Question 4 of 9

A well-rounded fitness program focuses on flexibility, resistance training and aerobic conditioning. What statements are true about a well-rounded fitness program? (Select all that apply)

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 9

A client has a new arm cast. What is incorrect teaching by the nurse?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 6 of 9

What soft tissue musculoskeletal injury is excessive stretching of a ligament?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 7 of 9

What is accurate health promotion teaching to prevent ear infection or trauma? (Select all that apply)

Correct Answer: D

Rationale: The correct health promotion teachings to prevent ear infection or trauma include blowing the nose gently without blocking nostrils, wearing hearing protection when exposed to loud noise, and avoiding the use of cotton-tipped applicators to clean the external ear. Blocking one nostril when blowing the nose is incorrect, as it can cause problems. Therefore, choice A is inaccurate. Additionally, using cotton-tipped applicators to clean the external ear can lead to trauma or infection, making choice C a correct preventive measure.

Question 8 of 9

A client has a new arm cast. What is incorrect teaching by the nurse?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 9 of 9

The nurse Is teaching the client how to administer eye drops. Which of these actions indicates the need for further client education?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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