verified answers
A client uses a cane to assist with ambulation. After teaching the client
how to use a cane, the client makes the following statements. Which
one indicates to the nurse the need for additional teaching? Ans✓✓✓
"I should hold the cane on my weaker side."
A goniometer verifies Ans✓✓✓ The correct degree of elbow flexion for
crutch use.
A patient with a long history of arthritis complains of sensitivity and
warmth in the knees. To determine the degree of limitation, the nurse
should assess Ans✓✓✓ Range of joint motion.
A patient with a long history of arthritis complains of sensitivity and
warmth in the knees. To determine the degree of limitation, the nurse
should assess. Ans✓✓✓ Range of joint motion
A pressure ulcer is an impairment of the skin that results from
Ans✓✓✓ Prolonged ischemia (decreased blood supply) in tissues
A trochanter roll Ans✓✓✓ Prevents external rotation of the hips when
pt is in a supine position
,Active range-of-motion exercises are when Ans✓✓✓ The client is able
to move his or her joints
After completing preoperative teaching for a surgical patient, you can
evaluate the patient's understanding of the use of elastic stockings
when the patient states. Ans✓✓✓ "I can remove them for 30min every
8 hrs.
Allowing the patient to dangle before changing position prevents
Ans✓✓✓ orthostatic hypotension, maintains safety, and prevents
injury to the patient.
Appropriate friction-reducing assistive devices & mechanical liefts need
to be used for Ans✓✓✓ Patient transfers when applicable
As part of the teaching process, Marilyn consults with a physical
therapist on proper use of the walker. She and the physical therapist
instruct the patient and family caregivers on the proper use of a walker,
and Marilyn provides written material that reinforces these verbal
instructions by Ans✓✓✓ Making sure that the patient uses the walker
correctly to ensure safe use of the assistive device. & Providing
instruction in a quiet environment and giving written instruction in
large easy-to-ready print enhances learning for the older adult.
Ascending stairs consist of a nurse helping patient to Ans✓✓✓ Walk up
& down the stairs using crutches. With weight placed on crutch, then
, transferred from crutches to unaffected leg on stair, then crutches are
aligned with unaffected leg on stairs.
Assessment of mobility Ans✓✓✓ Range of joint motion, Gait, activity
tolerance, body alignment, pain association with activity.
Back injuries, Shearing forces, Rest and activity for you and patient
sitting in chair may be exhausting Ans✓✓✓ Bend at knees stay in
alignment watch center of gravity to prevent.
Bed rest Ans✓✓✓ An intervention that restricts patients for
therapeutic reasons.
Before apply antiembolitic elastic stockings be sure there is no
Ans✓✓✓ Leg pain or swelling or has any skin irritation. elevate legs
while sitting and before applying stockings to improve venous returns,
not to massage the leg & avoid wrinkles in stockings.
Body Mechanics Ans✓✓✓ Coordinated efforts of the musculoskeletal
and nervous systems to maintain balance, posture, and body alignment
used during lifting, bending, moving, and performing activities of daily
living. Balance is achieved when a relatively low center of gravity is
balanced over a wide base of support