Which of the following measures should the nurse strongly recommend to a client recovering from a ruptured Achilles tendon to help regain mobility, strength, and the full range of motion?

Correct Answer: C

Rationale: The correct answer is C) Physical therapy. Physical therapy plays a crucial role in the rehabilitation process for a client recovering from a ruptured Achilles tendon. Physical therapists are trained to design individualized treatment plans to help regain mobility, strength, and the full range of motion. They use specific exercises, manual techniques, modalities, and therapeutic activities to promote healing and improve function. Option A) Regular use of NSAIDs is not the most appropriate measure for regaining mobility, strength, and range of motion. While NSAIDs may help with pain management, they do not address the underlying issues of muscle strength and joint flexibility. Option B) Vigorous exercise may be contraindicated in the early stages of Achilles tendon recovery as it can put excessive stress on the healing tendon, leading to further damage or delayed healing. Option D) Non-medical interventions like yoga can be beneficial for overall flexibility and stress reduction, but they may not provide the targeted rehabilitation needed for a ruptured Achilles tendon. Yoga alone may not be sufficient to address the specific needs of this injury. In an educational context, it is important for nurses to understand the role of different interventions in the rehabilitation process post-injury. By recommending physical therapy, nurses can ensure that their clients receive the specialized care needed to achieve optimal recovery outcomes. Collaboration with physical therapists allows for a holistic approach to care, addressing both physical and functional aspects of healing.

Correct Answer: B

Rationale: In providing discharge instructions to a post-operative carpal tunnel syndrome (CTS) patient, it is crucial to ensure they have the necessary information for a successful recovery. Option B, "Hand movements will be restricted for 4-6 weeks after surgery," is the correct answer. This information is essential as it highlights a key aspect of post-operative care for CTS patients. Restricting hand movements helps to promote proper healing and prevent complications such as excessive strain on the surgical site. Option A, "The surgical procedure is a cure for CTS," is incorrect because while surgery can effectively relieve symptoms of CTS, it is not always a guaranteed cure, and patients may still need to manage their condition post-operatively. Option C, "Frequent pain medication dosages will no longer be necessary," is incorrect as post-operative pain management is often required, especially in the immediate aftermath of surgery. Patients should be informed about the pain management plan prescribed by their healthcare provider. Option D, "Notify the physician immediately for any pain or discomfort," is also important but not as crucial as the correct answer. While it is essential for patients to report any concerning symptoms to their healthcare provider, understanding the need for restricted hand movements is more directly related to the immediate post-operative care and outcomes for a CTS patient. Educationally, understanding the specific post-operative care requirements for different surgical procedures is vital for healthcare providers to ensure optimal patient outcomes. Providing accurate and detailed discharge instructions helps patients take an active role in their recovery and minimizes the risk of complications. By choosing the correct answer, healthcare providers can contribute to the overall well-being and successful recovery of their patients undergoing CTS surgery.

Correct Answer: C

Rationale: In preparing a client for an EEG, it is essential for the nurse to wake the client up at midnight to help them fall asleep naturally during the test. This is the correct answer because sleep deprivation can actually affect the results of the EEG, as it may lead to the client falling asleep during the test, resulting in inaccurate readings. By waking the client up at midnight, it helps induce natural tiredness, making it easier for the client to fall asleep during the EEG. Option A is incorrect because excess sleep does not necessarily make a person lazy or nervous for the EEG. Option B is incorrect as regulating breathing patterns is not the primary reason for waking the client up at midnight. Option D is also incorrect because waking up at midnight is not specifically aimed at reducing the chances of getting a headache when electrodes are fixed to the scalp. From an educational perspective, understanding the importance of proper sleep hygiene and its impact on diagnostic tests like EEGs is crucial for nurses. By ensuring that clients are well-rested and can fall asleep naturally during the procedure, nurses can contribute to more accurate and reliable test results, ultimately leading to better patient care and outcomes.

Correct Answer: D

Rationale: In the context of a client post balloon angioplasty of the carotid artery, the correct item to have at the bedside for an emergency situation is option D) Endotracheal intubation. This is because in the event of a complication such as airway compromise or respiratory distress, having an endotracheal tube readily available is crucial for maintaining a patient's airway and ensuring adequate oxygenation. Options A, B, and C are incorrect in this scenario because: A) BP apparatus: While monitoring blood pressure is important postoperatively, it is not the most critical item to have at the bedside in case of an emergency related to airway or breathing. B) Call bell: While it is important for the patient to have access to the call bell for assistance, it is not a tool that directly addresses an emergency related to airway compromise. C) IV infusion stand: While IV access is important for fluid administration and medication delivery, it does not directly address the immediate need for airway management in case of an emergency. In an educational context, it is vital for healthcare providers to understand the specific needs of patients post different procedures and surgeries. In this case, recognizing the potential respiratory complications following a carotid artery angioplasty and being prepared with the appropriate equipment, such as an endotracheal tube, can make a significant difference in patient outcomes. This scenario highlights the importance of emergency preparedness and the critical thinking required in providing safe and effective patient care.

Correct Answer: B

Rationale: In this scenario, the correct action the nurse should perform before a client with impaired physical mobility gets up is to apply an abdominal binder (Option B). The rationale behind this is that an abdominal binder provides support to the abdomen and lower back, which can help stabilize the client's core and provide additional support when transitioning from sitting to standing. This support can prevent strain on the client's muscles and reduce the risk of falls or injuries during the transfer process. Now, let's discuss why the other options are incorrect: A) Using parallel bars or a walker may be appropriate for some clients with impaired physical mobility, but in this specific context of a client preparing to get up, the focus should be on providing support to the core and lower back, which an abdominal binder can achieve more effectively. C) Using incontinence pads is not directly related to assisting a client with impaired physical mobility in getting up. While managing incontinence is important, it is not the immediate concern when helping a client transition from sitting to standing. D) Using a footboard is typically used to prevent foot drop in clients who are immobile or bedridden for extended periods. While a footboard can be beneficial in certain situations, it is not the most appropriate intervention to help a client with impaired physical mobility get up. In an educational context, understanding the importance of proper body mechanics, support devices, and assistive equipment in managing clients with impaired physical mobility is crucial for nurses. By selecting the correct intervention, such as applying an abdominal binder in this case, nurses can enhance patient safety, prevent injuries, and promote effective mobility for their clients.