A nurse is caring for a client who has decreased mobility. What will the nurse include? (Select all that apply). Main Article: 6 Rheumatoid Arthritis Nursing Care Plans. ^ *Left heel has 1. Which symptoms are most consistent with a bone injury? Select all that apply. 32) -She has the motivation to participate in self-care. Study with Quizlet and memorize flashcards containing terms like a nurse is evaluating a client after injury to the wrist. The nurse suspects the client has a fat embolism. Complete the following sentence by using the list of options. advise the client to wear rubber-soled slippers. Physical mobility requires sufficient muscle strength and energy, along with adequate skeletal stability, joint function, and neuromuscu-lar synchronization. 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. b. -She has good "Patients with impaired mobility are at greater risk for pneumonia. 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. A nurse is assisting in the care of a client. Nursing; Nursing questions and answers; 6. You assess that the patient has understood the teaching by observing what? A) Patient performs range-of-motion exercises. With which interprofessional health care team members might the nurse collaborate with? (Select all that apply). 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. The nurse should plan to monitor the client for which of the following findings? a. ) 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 statement should the nurse include in this client's teaching prior to beginning rehabilitation activities? a. 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. B) Focus on using back muscles efficiently when lifting heavy objects. com Oct 25, 2021 · Impaired physical mobility is a common nursing diagnosis that is often multifactorial. 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. medulla oblongata and A nurse is caring for a client who has decreased mobility. Keep you stomach muscles relazed to prevent back spasms. Many hospitals use nurse-driven mobility protocols to encourage early mobility of patients in intensive care units and after surgery. A nurse is caring for a client. 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 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. . Client has decreased mobility and is confined to their bed, client only able to communicate with moans. Which findings are manifestations of fat embolism? Select all that Study with Quizlet and memorize flashcards containing terms like 2. 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. ) 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 _____. What is the result of this decrease? A. 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 . "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. Which intervention is a simple and cost-effective method for reducing the risks of stasis of pulmonary secretions and decreased chest wall expansion? A. c. A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has urinary incontinence. Respiratory system. The patient has diminished breath sounds in bilateral lung bases. Reassure the client she will not fall if she gets up. 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. Always use two personnel to move the client. Increased urinary output 4. In a client with Cushing's syndrome, the nurse would expect to find: 1. Encourage the client to perform antiembolic exercises every 2 hr. Trochanter roll b. 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. Decreased peristalsis, 2. Assess the physical activity level and mobility of the client. 0800: Client is admitted to the rehabilitation unit following a stroke. Hypoglycemia, A nurse is caring for a group of clients. 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. 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 nurse is planning care for a client who has decreased mobility. What action taken by the nurse can assist the client with regaining mobility? a. 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. Sleep on the softest mattress possible. Stand at the head of the bed to pull the client up. 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. Frequent change of position C. which of the following actions should the nurse take to decrease the clients risk of developing plantar flexion contractures? a. What should the nurse do?, Which statement reflects nursing management of the client with expressive aphasia? and more. Which of the following interventions should the nurse plan to implement? A. which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractures? a. 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. The client has a stage 1 pressure injury on their left heel. ", The nurse is planning care for a client who has decreased mobility. , A nurse is caring for a client on the orthopedic floor. Instruct the client to cough and deep breath every 4 hr. Reposition the client every 4 hr. , 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. Keep your knees locked when standing upright. 1. Kidney stones d. 5 in) area of nonblanchable erythema; skin is intact is correct. The nurse is caring for a patient who has decreased mobility. 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. B. The nurse is planning care for a client who has limited bed mobility. Endocrine system. Promote self-care activities. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with suspected acute respiratory distress syndrome (ARDS). 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. Administering ordered analgesics and monitoring their effects C. Which would be the best explanation?, A client has decreased mobility to her left side from a stroke. A nurse is providing care for a client who has decreased mobility secondary to a recent stroke. 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. Fluid volume overload b. What are the priority nursing assessments for the nurse to perform prior to notifying the patient's health care provider? (Select all that apply. A central goal of nursing care following Study with Quizlet and memorize flashcards containing terms like 1. Bacteremia, A client with end-stage renal disease receives continuous ambulatory peritoneal dialysis. 1. " "Patients with impaired mobility need to have a mechanical soft diet. 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. Reposition the patient frequently. Increased need for sleep D. In assessment of the client, the nurse is alert to a(n): 1. A nurse is caring for a client who is chronically ill and has decreased mobility. She has motivation to participate in self-care. What should the nursing priority be? A. Being mobile and able to self-care and fear of falling are important to patients. deposits of adipose tissue in the trunk and dorsocervical area 4. a nurse is caring for a client who has decreased mobility. 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. With which interprofessional health care team members would the nurse most likely collaborate? Select all that apply. 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. Decreased heart rate 3. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures? a. 1 Anything that disrupts this integrated process can lead to impaired mobility or immobility. 3. Restrict the client's fluid intake. Urinary system. Hematuria d. See full list on nurseslabs. Observe the client for signs of restlessness B. 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. 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. What health education should the nurse provide to this patient? A) Avoid lifting more than one-third of body weight without assistance. 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. She has been experiencing increased nausea and vomiting associated with treatment. She has good mobility around her home. Which is an internal resource that the client has to help her attain her self-care goals? (Ch. Antibiotics B. A client has been on prolonged bed rest, and the nurse is observing for signs associated with immobility. Study with Quizlet and memorize flashcards containing terms like The nurse is planning care for a client who has decreased mobility. Oxygen humidification D. Assess the client’s level of activity tolerance and difficulties in mobility. 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. Decreased proprioception B. 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. Indicate if the assessment finding is expected, unexpected, or unrelated to the client's fracture. 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. Consult with the provider about a physical therapy consult. 3 cm (0. Incorporation of pain management techniques into daily life. Decreased cognitive function, The diencephalon of the brain consists of the A. The nurse caring for a client with Guillain-Barré syndrome has identified the priority client problem of decreased mobility for the client. Incorporation of strategies necessary to modify fatigue as part of the daily activities. What actions by the nurse are best? (Select all that apply. Exhibit 1 Nurses' Notes 4 days ago: Client admitted to skilled nursing facility. 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. the client states, "I am not sure how this happened The nurse is planning care for a client who has decreased mobility. Client is incontinent of urine and stool. Increased blood pressure 2. 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. Proteinuria c. the client is being evaluated today for a potential sprain in the right ankle. Study with Quizlet and memorize flashcards containing terms like he nurse is teaching a class on safe patient handling and mobility. Exhibit 3Medical History. place a pillow under the client's knees. Which of the following body systems should the nurse identify as the greatest risk of complication associated with bone demineralization? Gastrointestinal system. Abduction pillow d. 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. 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 . Azotemia b. A nurse is planning care for a client who is on bed rest. Place a turn sheet on the bed. 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. D. 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. 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 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. She has hot water to bathe in. Providing comprehensive client teaching; including symptoms of the disorder, treatment options, and expected outcomes B. The client spends most of his day in a reclining chair. 4. The major goals for a patient with RA are: Improvement in comfort level. Position a trochanter roll under each of the client's hips. Braden score 7. Perform tasks for the client. 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. " "Patients with impaired mobility have an increased risk for pressure ulcers. Sheepskin heel pad c. position a trochanter roll under each of the client's hips. 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. This valuable resource provides a wealth of information on nursing assessments, interventions, goals, and nursing diagnoses specifically designed to address self-care deficits. Which of the following Study with Quizlet and memorize flashcards containing terms like A client is experiencing an acute exacerbation of rheumatoid arthritis. Which of the following body systems should the nurse identify as the greatest risk of complication associated with bone demineralization?. " b. 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 teaches a client with a past history of angina who has had a total knee replacement. 2. 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. Ask the family if they wish to assist in washing the client's body: This is an appropriate action. Providing an opportunity for the family to participate in postmortem care can be a culturally sensitive and therapeutic approach. Hypotension 2. Thick, coarse skin 3. Avoid arching shoulders forward when sitting. ) a. May 10, 2024 · Nursing Care Planning & Goals. The nurse discovers a stage 1 pressure injury on the patient's left heel. The nurse is caring for a patient who exhibits labored breathing, is using accessory muscles, and is coughing up pink frothy sputum. 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. d. Monitor the client for facial grimacing C. Advise the client to wear rubber-soled slippers. Watch the client for indications of decreased mobility D. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who asks about the purpose of advance directives. Dermatitis c. Study with Quizlet and memorize flashcards containing terms like 1) The nurse is caring for a client who is having difficulty with mobility. A 61-year-old client recently suffered left-sided A nurse is caring for a client who has decreased mobility. cerebellum and midbrain. 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. 5 in x 0. Nurses' Notes 4 days ago: Client admitted to skilled nursing facility. Ask occupational therapy to help the client with activities of daily living. Click the card to flip 👆. Client receiving tube feeding for nutrition. Science; Nursing; Nursing questions and answers; A nurse is caring for a client who is chronically ill and has decreased mobility. What instruction should be given to the assistive personnel who will be caring for this client? Standard Text: Select all that apply. The nurse on the shift before you has provided patient teaching about pressure ulcers and healing promotion. Which of the following clients should the nurse identify is at She has been experiencing increased nausea and vomiting associated with treatment. What could Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client with possible Cushing's syndrome. C. " "Patients with impaired mobility are prone to constipation. Increased myelinization C. a nurse is caring for a client who has decreased mobility. Which symptom of ARDS should the nurse anticipate will appear within 24 to 48 hours after the initial insult? (Select all that apply. "Use analgesics before and after activity, even if you are not experiencing pain. Study with Quizlet and memorize flashcards containing terms like As adults age, peripheral nerve function and impulse conduction decrease. 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. 3 cm x 1. A nurse is caring for an older adult client at a health care facility. , The nurse is explaining to A. It is one of the most important factors for remaining independent. 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. Client has limited mobility and requires full assistance to turn and transfer out of bed. 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. 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. , The nurse is caring for a client with a nerve impingement in the lower back area around L4 and L5. ddj ajykmk bnn frizp flyhoi bsycg gzliufn mwltrk djof ihpha