A nurse is caring for a client who has decreased mobility
A nurse is caring for a client who has decreased mobility. Which assessment finding would be indicative of a stage I pressure ulcer? There is a non-blanching reddened area on the client's coccyx region. The client becomes upset stating, "You did not wash your hands!" Which response by the nurse is most appropriate?, When developing a plan of care for a client who has developed neutropenia secondary to chemotherapy, which of the following would the nurse A nurse is caring for a client who has impaired mobility. Apr 30, 2024 · Nursing care for patients with amputation involves managing pain, providing wound care, promoting mobility and rehabilitation, offering psychological support, educating patients and their families, coordinating care with other healthcare professionals, monitoring for complications, and ensuring long-term follow-up. , The nurse is explaining to A. What should the nurse consider to be a normal, age-related change? decreased or unsteady mobility occasional falls appearance of corns or calluses decreased sensory perception Select all that apply. Oxygen humidification D. A nurse is planning care for a client who is on bed rest. Which of the following body systems should the nurse identify as the greatest risk of complication associated with bone demineralization?Urinary systemEndocrine systemGastrointestinal systemRespiratory system Study with Quizlet and memorize flashcards containing terms like A client states, "My healthcare provider says my problem with mobility is with my connective tissues. The nurse caring for a client with Guillain-Barré syndrome has identified the priority client problem of decreased mobility for the client. Assess the client’s level of activity tolerance and difficulties in mobility. Exhibit 3Medical History. What could Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client with possible Cushing's syndrome. d. Which of the following A) Scheduled toileting B) Indwelling catheter C) External condom catheter D) Incontinence pads, You are the nurse caring for a female patient who developed a pressure ulcer as a result of decreased mobility. Reposition the patient frequently. Antibiotics B. , Of the following interventions for the client who is immobile, the nurse will Nursing; Nursing questions and answers; A nurse is caring for a client who is chronically ill and has decrea mobility. D. Client has decreased mobility and is confined to their bed, client only able to communicate with moans. ) Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who recently injured the right leg while playing basketball. Which of the following clients should the nurse identify is at She has been experiencing increased nausea and vomiting associated with treatment. Physical mobility requires sufficient muscle strength and energy, along with adequate skeletal stability, joint function, and neuromuscu-lar synchronization. 2. What could cause this variation in color of the urine? a) Blood b) Infection c) Dehydration d) Stasis, A nurse notes that the volume of the client's urinary elimination is less than 300 mL/day. Hypoglycemia, A nurse is caring for a group of clients. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures? a. Study with Quizlet and memorize flashcards containing terms like The nurse is planning care for a client who has decreased mobility. Which is an internal resource that the client has to help her attain her self-care goals? (Ch. Providing an opportunity for the family to participate in postmortem care can be a culturally sensitive and therapeutic approach. Being mobile and able to self-care and fear of falling are important to patients. Which symptoms are consistent with nerve injury? Select all The nurse would suspect that the patient has what kind of complication?, A student nurse asks the nurse the difference between dehiscence and evisceration. Keep you stomach muscles relazed to prevent back spasms. The nurse should plan to monitor the client for which of the following early indications of increased intracranial pressure ?, A nurse is planning care for several clients and is considering the clients ' risk for stroke . B) Focus on using back muscles efficiently when lifting heavy objects. The nurse is caring for a patient who exhibits labored breathing, is using accessory muscles, and is coughing up pink frothy sputum. What instruction should be given to the assistive personnel who will be caring for this client? Standard Text: Select all that apply. A nurse is assisting in the care of a client. The nurse discovers a stage 1 pressure injury on the patient's left heel. The nurse should place a foot board at the end of the client's bed or apply foot boots to the client's feet to protect the client's heels and decrease the contracture. Keep your knees locked when standing upright. Which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractors? · Place a pillow under the client's knees. A 61-year-old client recently suffered left-sided A nurse is caring for a client who has decreased mobility. c. Client receiving tube feeding for nutrition. which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractures? a. Which of the following body systems should the nurse identify as the greatest risk of complication associated with bone demineralization?. May 1, 2023 · Therefore assisting patients with mobility while keeping in mind all barriers to treatment and potential complications are essential to decrease hospital stay and optimize patient care and well being. Promote self-care activities. With which interprofessional health care team members might the nurse collaborate with? (Select all that apply). Fluid volume overload b. Client has limited mobility and requires full assistance to turn and transfer out of bed. The client has a stage 1 pressure injury on their left heel. Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the plan of care for a client who has a cerebral aneurysm . the client states, "I am not sure how this happened The nurse is planning care for a client who has decreased mobility. Azotemia b. Which of the following statements should the nurse make?, A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. "Use analgesics before and after activity, even if you are not experiencing pain. Watch the client for indications of decreased mobility D. , The nurse is caring for a client with a nerve impingement in the lower back area around L4 and L5. Many hospitals use nurse-driven mobility protocols to encourage early mobility of patients in intensive care units and after surgery. Which is an internal resource that the client has to help her attain her self-care goals? She has family and friends who help her with self-care. May 10, 2024 · Nursing Care Planning & Goals. Dermatitis c. Which action should the nurse take?, A nurse is planning care for a client who experienced a stroke in the right hemisphere of his brain. which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractures? Place a pillow under the client's knees. What health education should the nurse provide to this patient? A) Avoid lifting more than one-third of body weight without assistance. Which of the following body systems should the nurse identify as the greatest risk of complication associated with bone demineralization? Gastrointestinal system. At what location is the epidermal layer thickest? Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client in acute addisonian crisis. Study with Quizlet and memorize flashcards containing terms like 1) The nurse is caring for a client who is having difficulty with mobility. A nurse teaches a client with a past history of angina who has had a total knee replacement. Decreased cognitive function, The diencephalon of the brain consists of the A. Increased urinary output 4. Trochanter roll b. Which of the following pieces of information is the priority for the nurse to provide?, A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. Which of the following interventions should the nurse plan to implement? A. Sheepskin heel pad c. Decreased proprioception B. This valuable resource provides a wealth of information on nursing assessments, interventions, goals, and nursing diagnoses specifically designed to address self-care deficits. A central goal of nursing care following Study with Quizlet and memorize flashcards containing terms like 1. 32) -She has the motivation to participate in self-care. " "Patients with impaired mobility need to have a mechanical soft diet. Assess the physical activity level and mobility of the client. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with suspected acute respiratory distress syndrome (ARDS). Complete the following sentence by using the list of options. Which findings are manifestations of fat embolism? Select all that Study with Quizlet and memorize flashcards containing terms like 2. 0800: Client is admitted to the rehabilitation unit following a stroke. A nurse is providing care for a client who has decreased mobility secondary to a recent stroke. 3 cm x 1. B. Science; Nursing; Nursing questions and answers; A nurse is caring for a client who is chronically ill and has decreased mobility. Which of the following puts the client at greater risk for developing pneumonia?, a nurse is caring for a Study with Quizlet and memorize flashcards containing terms like A nurse is giving change-of-shift report about a client they admitted earlier that day who has pneumonia. Which nursing diagnosis should receive the highest priority? 1- Risk for infection 2- Decreased cardiac output 3- Impaired physical mobility 4- Imbalanced nutrition: Less than body requirements, Which of the following would the nurse expect to find in a client with Study with Quizlet and memorize flashcards containing terms like Which of the following is a term used to describe excessive nitrogenous waste in the blood, as seen in acute glomerulonephritis? a. The nurse should plan to monitor the client for which of the following findings? a. Endocrine system. a nurse is caring for a client who has decreased mobility. Perform passive range-of-motion exercises every Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a wrist fracture. Nurses' Notes 4 days ago: Client admitted to skilled nursing facility. Thick, coarse skin 3. Which of the following statements should the nurse identify as an indication that the client You are the nurse caring for a female patient who developed a pressure ulcer as a result of decreased mobility. By utilizing this guide, you can enhance Apr 30, 2024 · By determining the appropriate activity level for a client, the nurse can predict whether the client has the strength and endurance to participate in activities requiring similar expenditures of energy. 1. Stand at the head of the bed to pull the client up. Which of the following physiological responses to prolonged immobility should the nurse expect?, A nurse is reinforcing teaching with a young adult client who has a family history 5. Primary health care provider (PHCP), Respiratory therapist (RT), Registered dietitian nutritionist (RDN), Registered physical therapist (RPT Jun 16, 2018 · The positive effects of physical activity on physical and mental health are well known and include weight control, improved balance, flexibility, strength, anxiety reduction and protection from ill health, as well as contributing to independent living and preventing falls. 5 in) area of nonblanchable erythema; skin is intact is correct. 5 in x 0. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who asks about the purpose of advance directives. The purpose of early mobility protocols is to maintain the patient’s baseline mobility and functional capacity, decrease the incidence of delirium, and decrease hospital length of stay. Ask the client to rate their pain level, A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. which of the following actions should the nurse take to decrease the clients risk of developing plantar flexion contractures? a. Immobility, the inability to independently move and change positions, is a major reason why people are admitted to long-term care facilities for assistance to complete their activities of daily living (ADLs You are the nurse caring for a female patient who developed a pressure ulcer as a result of decreased mobility. Sleep on the softest mattress possible. Chest physiotherapy Study with Quizlet and memorize flashcards containing terms like The nurse applies an alcohol-based hand rub upon entering the client's room. In a client with Cushing's syndrome, the nurse would expect to find: 1. a nurse is caring for a client who has decreased mobility. Hematuria d. Which would be the best explanation?, A client has decreased mobility to her left side from a stroke. Client is incontinent of urine and stool. Restrict the client's fluid intake. place a pillow under the client's knees. A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has urinary incontinence. advise the client to wear rubber-soled slippers. 3 cm (0. The client spends most of his day in a reclining chair. Indicate if the assessment finding is expected, unexpected, or unrelated to the client's fracture. Decreased peristalsis, 2. The nurse observes that the dialysate drainage fluid is Study with Quizlet and memorize flashcards containing terms like When collecting a urine sample from a client for examination, the nurse notes that the sample appears reddish-brown in color. She has been experiencing increased nausea and vomiting associated with treatment. position a trochanter roll under each of the client's hips. com Oct 25, 2021 · Impaired physical mobility is a common nursing diagnosis that is often multifactorial. Which intervention is a simple and cost-effective method for reducing the risks of stasis of pulmonary secretions and decreased chest wall expansion? A. ) Shortness of breath Rapid breathing Fluid imbalance Chest x-ray clear of infiltrates Arterial blood When prioritizing care for the client, the nurse should first_____, _____ and _____. " b. She has hot water to bathe in. Performing meticulous skin care D Study with Quizlet and memorize flashcards containing terms like A client is undergoing chemotherapy for ovarian cancer which has metastasized. Exhibit 1 Nurses' Notes 4 days ago: Client admitted to skilled nursing facility. Increased myelinization C. Which symptom of ARDS should the nurse anticipate will appear within 24 to 48 hours after the initial insult? (Select all that apply. Study with Quizlet and memorize flashcards containing terms like As adults age, peripheral nerve function and impulse conduction decrease. " "Patients with impaired mobility are prone to constipation. 3. Avoid arching shoulders forward when sitting. C. Abduction pillow d. The major goals for a patient with RA are: Improvement in comfort level. " "Patients with impaired mobility have an increased risk for pressure ulcers. It is one of the most important factors for remaining independent. medulla oblongata and A nurse is caring for a client who has decreased mobility. Ask the family if they wish to assist in washing the client's body: This is an appropriate action. Encourage the client to perform antiembolic exercises every 2 hr. What should the nursing priority be? A. The nurse on the shift before you has provided patient teaching about pressure ulcers and healing promotion. Main Article: 6 Rheumatoid Arthritis Nursing Care Plans. Urinary system. In assessment of the client, the nurse is alert to a(n): 1. Reposition the client every 4 hr. ) a. Kidney stones d. Attain and maintain optimal Study with Quizlet and memorize flashcards containing terms like A home health nurse is caring for a client who has emphysema and has difficulty with mobility. Providing comprehensive client teaching; including symptoms of the disorder, treatment options, and expected outcomes B. Consult with the provider about a physical therapy consult. Administering ordered analgesics and monitoring their effects C. Study with Quizlet and memorize flashcards containing terms like a nurse is evaluating a client after injury to the wrist. cerebellum and midbrain. , The nurse is planning care for a client who has decreased mobility. weight gain in arms and legs, The nurse is planning care for a 52-year-old male client in Study with Quizlet and memorize flashcards containing terms like A nurse is communicating with a client who has aphasia after having a stroke. It can be a temporary, permanent or worsening problem and has the potential to create more significant issues such as skin breakdown, infections, falls, and social isolation. the client is being evaluated today for a potential sprain in the right ankle. -She has good "Patients with impaired mobility are at greater risk for pneumonia. She has motivation to participate in self-care. Observe the client for signs of restlessness B. She has good mobility around her home. Hypotension 2. Increased blood pressure 2. Incorporation of pain management techniques into daily life. Position a trochanter roll under each of the client's hips. Place a turn sheet on the bed. What will the nurse include? (Select all that apply). "Let me know if you start to Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has a wrist fracture. Study with Quizlet and memorize flashcards containing terms like he nurse is teaching a class on safe patient handling and mobility. Increased need for sleep D. It includes addressing Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an adult patient diagnosed with a back strain. Which of the following Study with Quizlet and memorize flashcards containing terms like A client is experiencing an acute exacerbation of rheumatoid arthritis. 4. Decreased heart rate 3. Click the card to flip 👆. Monitor the client for facial grimacing C. ^ *Left heel has 1. Ask occupational therapy to help the client with activities of daily living. Nursing; Nursing questions and answers; 6. 1 Anything that disrupts this integrated process can lead to impaired mobility or immobility. What should the nurse do?, Which statement reflects nursing management of the client with expressive aphasia? and more. Perform tasks for the client. A) Neurological assessment B) Incisional drainage C) Urinary output D) Reported pain level E) Gastrointestinal assessment F) Vital signs, A nurse in a provider's clinic is caring for a client who has heart failure. A client has been on prolonged bed rest, and the nurse is observing for signs associated with immobility. With which interprofessional health care team members would the nurse most likely collaborate? Select all that apply. Apr 30, 2024 · Access this comprehensive nursing care plan and management guide to deliver optimal care for patients facing challenges in performing self-care and activities of daily living. Proteinuria c. The nurse is caring for a patient who has decreased mobility. b. What action taken by the nurse can assist the client with regaining mobility? a. ", The nurse is planning care for a client who has decreased mobility. You assess that the patient has understood the teaching by observing what? A) Patient performs range-of-motion exercises. A nurse is caring for a client who is chronically ill and has decreased mobility. What are the priority nursing assessments for the nurse to perform prior to notifying the patient's health care provider? (Select all that apply. What actions by the nurse are best? (Select all that apply. Frequent change of position C. Which symptoms are most consistent with a bone injury? Select all that apply. When caring for a patient who has decreased mobility in his lower limbs, to prevent any skin from damaging a nurse should: Keep the skin clean, dry, and moisturized. . A nurse is caring for a client. A nurse is caring for an older adult client at a health care facility. Footboard Study with Quizlet and memorize flashcards containing terms like (Select all that Apply) A nurse is caring for a client who is postoperative following abdominal surgery. Always use two personnel to move the client. The patient has diminished breath sounds in bilateral lung bases. expected, unexpected, or unrelated to clients fracture?, A nurse is caring for a client who has undergone an open reduction internal fixation to correct a fracture. What is the result of this decrease? A. deposits of adipose tissue in the trunk and dorsocervical area 4. 1. See full list on nurseslabs. , A nurse is caring for a client on the orthopedic floor. C) Lift objects while holding the object a safe Study with Quizlet and memorize flashcards containing terms like To maintain proper posture, it is important to: A. A) Producing antibodies B) Absorbing electrolytes C) Maintaining acid-base balance D) Physically repelling pathogens E) Preventing fluid loss, When planning the skin care of a patient with decreased mobility, the nurse is aware of the varying thickness of the epidermis. Which statement should the nurse include in this client's teaching prior to beginning rehabilitation activities? a. Incorporation of strategies necessary to modify fatigue as part of the daily activities. The nurse is planning care for a client who has limited bed mobility. Advise the client to wear rubber-soled slippers. The nurse suspects the client has a fat embolism. Reassure the client she will not fall if she gets up. Braden score 7. Instruct the client to cough and deep breath every 4 hr. Bacteremia, A client with end-stage renal disease receives continuous ambulatory peritoneal dialysis. What are connective tissues?" Which structure should the nurse include in the response? (select all that apply) A) Bones B) Ligaments C) Tendons D) Muscles E) Cartilage, The family of a client with mobility difficulties asks the A. Which intervention is a simple and cost-effective method for reducing the risks of stasis of pulmonary secretions and decreased chest wall expansion? A) Antibiotics B) Frequent change of position C) Oxygen humidification D) Chest physiotherapy Mobility is the ability to move one’s body parts, change positions, and function safely within the environment. which assessment finding demonstrates an injury to the range of motion?, a nurse is caring for a client with a cast on the right forearm. Respiratory system. iuv pagma reduib wjhr vqun gcbh ivikn sis fcfdh vrakepo