A nurse is caring for a client who has limited mobility in his lower extremities

A nurse is caring for a client who has limited mobility in his lower extremities. The nurse has provided instructions regarding specific leg exercises for the client immobilized in right skeletal lower leg traction. 2. Which of the following actions should the nurse take to maintain the client's skin integrity? A. Into which position will the nurse place the client?, 3 During assessment, the nurse notes the client has limited movement of his lower extremities and sways when standing with feet together. You are the nurse caring for a Jan 18, 2024 · A nurse is caring for a client who has limited mobility in his lower extremities. 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. Which of the following actions should the nurse take to prevent skin breakdown? A nurse is caring for a client who has limited mobility in their lower extremities. administration 27. Hold the container of solution 30 cm (12 in) above the anus. Study with Quizlet and memorize flashcards containing terms like A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a recent stroke, but his care team wishes to now begin introducing minced and pureed food. Which action should the nurse include in the plan of care to help maintain skin integrity? A. Peripheral vascular disease 6 Study with Quizlet and memorize flashcards containing terms like A nurse is planning an in-service training session about nutrition. Place a donut-shaped cushion in the client's chair. Flexing and extending the feet 3. 32) -She has the motivation to participate in self-care. To deselect a finding, click on the finding again. Explanation: A nurse caring for a client with limited mobility in their lower extremities can take Study with Quizlet and memorize flashcards containing terms like A nurse is communicating with a client who has aphasia after having a stroke. The inability to move freely can affect a client’s ability to perform ADLs and self-care tasks. Which of the following pieces of information should the nurse include?, as a nurse is preparing to administer liquid medication from a bottle to a client. use warm water when bathing the client b. Restrict the client's fluid intake. Request that a respiratory therapist discuss the technique for incentive spirometry. the client states, "I am not sure how this happened. Reported pain lvl E. Document actions and observations. Neuro Assessment B. 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 The nurse is providing care for several clients. Find step-by-step Health solutions and your answer to the following textbook question: A nurse is caring for a client who has limited mobility in his lower extremities. Client drowsy but responses to verbal stimuli. This tool will allow the client to shift their weight Study with Quizlet and memorize flashcards containing terms like a nurse is evaluating a client after injury to the wrist. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is on bed rest for a month. B. b. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to transfer a client who has left-sided weakness from the bed to a chair. he is stable, and we will update you with any changes he has an electrical burn, which A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. Bilateral breath . pdf from NURSING FUNDAMENTA at Rasmussen College. crushed spinal cord, The The client has a diagnosis of multiple sclerosis (MS). Place a turn sheet on the bed. 4. How should the nurse best position the client?, The nurse is caring for a client who has a lower body injury and who is able to partially assist Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has a wrist fracture. A client with right sided hemiparesis has limited mobility. O Have the client use a trapeze bar when changing position. The client exhibits signs of autonomic hyperreflexia. cerebellum and midbrain. correct action is to B)apply pressure-relieving cushions Study with Quizlet and memorize flashcards containing terms like The client returns to the provider's office 3 days later. 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. 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. Petechiae, which are small red or purple spots on the skin, is associated with severe thrombocytopenia (low platelet count), indicating an increased risk of bleeding. Exhibit 1: Nurses' Notes Day 1, 0900: Client is 65-year-old who reports pain and burning on urination. Which of the following interventions should the nurse include in the The nurse is providing care for several clients. medulla oblongata and Oct 10, 2023 · A nurse is caring for a client who has limited mobility in his lower extremities. Psoriasis 2. A nurse is planning care for a client who is on bed rest. ) The client capillary refill less than 3 sec in one lower extremity & 4 sec in the other The client w/ sharp, stabbing pain in the right lower extremity only when walking The client w/ cyanosis of the right lower extremity The client w/ bilateral lower extremity edema but slightly greater in the Jan 28, 2024 · Final answer: To prevent skin breakdown in a patient with limited mobility, a nurse should apply pressure-relieving cushions. Within 6 hours of being admitted A nurse is caring for a client who has limited mobility in their lower extremities. Decreased cognitive function, The diencephalon of the brain consists of the A. Perform a musculoskeletal assessment. ) Positioning the chair slightly behind the nurse so that the seat faces the client's bed. Apr 30, 2024 · The following are the nursing priorities for clients needing assistance with self-care needs and have ADL limitations: Limited physical mobility. A client who has been lying prone reports shortness of breath and a sensation of choking. client is orientated to person, place, and time. The nurse is caring for a client with multiple areas of skin breakdown on the back. Which of the following actions by the nurse demonstrates correct transfer technique? A. ) Taking over-the-corner medication for arthritis A myocardial infarction 2 years ago Controlling type 2 diabetes mellitus diet Jan 28, 2024 · Final answer: To prevent skin breakdown in a patient with limited mobility, a nurse should apply pressure-relieving cushions. Click to highlight the assessment findings below that the nurse should report to the provider. A. Explanation: Positioning the arms across the chest improves assistance, reduces friction, and prevents hyperextension of the neck. The nurse should assess which client for possible deep venous thrombosis? (Select all that apply. Client can move all extremities. Urinary output D. Stand at the head of the bed to pull the client up. Peripheral neuropathy 5. What is the result of this decrease? A. The nurse is providing care for an older adult man whose diagnosis of dementia has recently led to urinary incontinence. A nurse is caring for a client who has limited mobility in his lower extremities. Reposition the client every 4 hr. Which of the following actions should the nurse take to prevent skin breakdown? 1) Reposition the client every 2 hours 2) Apply lotion to the client's skin 3) Encourage the client to sit for long periods of time 4) Use a pressure-relieving mattress View Fundamentals_Proctored_2020-33. Which nursing interventions would be included on the plan of care? a)Provide only passive range of motion (ROM), and decrease stimulation. The nurse assesses which factors that can put this client at risk for amputation? Select all that apply. 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 home health nurse is caring for a client who has emphysema and has difficulty with mobility. place a donut-shaped cushion in the client's chair c. Study with Quizlet and memorize flashcards containing terms like While conducting an assessment, the nurse concludes that a client is at risk for developing a deep venous thrombosis. What instruction should be given to the assistive personnel who will be caring for this client? Standard Text: Select all that apply. For which client should the nurse anticipate an order for administering 1000 mg of aspirin? A) A 68-year-old client with rheumatoid arthritis who is experiencing hand pain B) A 5-year-old client who is experiencing ankle pain after a fall from a horse C) A 38-year-old client who is experiencing headache pain after a skiing accident D) A 70-year Study with Quizlet and memorize flashcards containing terms like A nurse in a long term care facility is reviewing prescriptions for a client receiving mechanical ventilation. distended large intestine 4. Abdominal Nov 2, 2023 · To prevent skin breakdown in patients with limited mobility, a nurse should regularly reposition the patient, keep the skin clean and dry, use pressure-relieving devices, provide nutritional support, and educate the patient about their care. Use warm water when bathing the client. When caring for a client with limited mobility of the lower extremities, the nurse should be careful not to damage the skin or pressure ulcers. Encourage fluid intake. Among the options provided, having the client use a trapeze bar when changing positions is the most suitable. a client who has limited mobility in his A nurse is caring for a client who has limited mobility. Hypoactive bowel sounds. Which of the following actions should the nurse take to prevent skin breakdown? 1) Place the client in a prone position for most of the day 2) Encourage the client to frequently change positions 3) Apply pressure to bony prominences with the palm of the hand 4 May 20, 2024 · A nurse is caring for a client who has limited mobility in their lower extremities. This service began with the client's admission to the hospital. Peripheral vascular disease 6 Study with Quizlet and memorize flashcards containing terms like The client returns to the provider's office 3 days later. c)Encourage coughing and deep breathing, and limit fluid intake. 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. For which client should the nurse anticipate an order for administering 1000 mg of aspirin? A) A 68-year-old client with rheumatoid arthritis who is experiencing hand pain B) A 5-year-old client who is experiencing ankle pain after a fall from a horse C) A 38-year-old client who is experiencing headache pain after a skiing accident D) A 70-year Study with Quizlet and memorize flashcards containing terms like a nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. Keep the container of solution at a level to maintain client comfort. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a spinal cord injury. Which of the following interventions should the nurse plan to implement? A. What nursing intervention should be most appropriate to address the nursing diagnosis? Use pressure-relieving devices when the client is in bed or in a Study with Quizlet and memorize flashcards containing terms like As adults age, peripheral nerve function and impulse conduction decrease. Encourage the client to perform antiembolic exercises every 2 hr. Disuse osteoporosis C. Which of the following actions should the nurse identify as an indication of correct use?, a Study with Quizlet and memorize flashcards containing terms like 1. The nurse understands these symptoms to be suggestive of which of the following findings?, A client is hospitalized when presenting to the emergency department with right-sided weakness. 13. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a recent lower extremity injury. Joint contracture A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. D. The nurse is caring for an elderly client with a fractured hip who is on bed rest. Which of the following actions should the nurse take to maintain the client's skin integrity? a. The nurse can request that another team member discuss the use of the spirometer to see if that team member can encourage the client to use it; however, this is not the priority action that the nurse should take. Self-care A nurse is caring for a client who has an electrical burn. She has been experiencing increased nausea and vomiting associated with treatment. Perform passive range-of-motion (ROM) exercises. The nurse understands that an immobile client may have poor body alignment, which may lead to complications. How should the nurse assess body alignment in this client? Select all that apply. The client spends most of his day in a reclining chair. -She has good have the client fold the arms across the chest. With the clients permission, the nurse is answering questions from the family about bis status. During the physical assessment, the nurse should include which components during inspection and palpation of the injury? Select all that apply. Limited joint mobility 4. Incisional drainage C. What are some actions that the nurse should take to prevent skin breakdown? An 86-year-old woman is admitted to the unit with chills and a fever of 104 degree F. The brain MRI reveals an infarct. the client is being evaluated today for a potential sprain in the right ankle. Which of the following should the nurse suspect the client is experiencing? A. Message bony prominences. Turn him regularly. What are some actions that the nurse should take to prevent skin breakdown?. When planning this patients care, what intervention should the nurse avoid? A) Scheduled toileting B) Indwelling catheter C) External condom catheter D) Incontinence pads, 2. Instruct the client to cough and deep breath every 4 hr. 1. massage reddened areas over bony prominences d. The client has been prescribed hip precautions. It is necessary to provide the client with an anti-decubitus mattress, turn the client every 2 hours, and more often if necessary. The nurse identifies that the client is at risk for what? Stroke Falls Pressure ulcers Impaired mobility a. Performing active range of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery Exhibit 1 Nurse's Notes: 1100: Client received from PACU; Initial vital signs recorded. Bilateral breath Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with diabetes mellitus who is scheduled to have a right below-knee amputation. In which position will the nurse choose to place the client to improve arterial oxygenation?, 2. " Study with Quizlet and memorize flashcards containing terms like A client is undergoing chemotherapy for ovarian cancer which has metastasized. Massage reddened areas over bony prominences. " Client alert and oriented x 3. The nurse is planning care for a client who has limited bed mobility. Bony deformity 3. 1. Oct 25, 2021 · Impaired physical mobility is a common nursing diagnosis that is often multifactorial. b)Have the client lie as still as possible, and give adequate pain medication. Which of the following actions should the nurse take?, A hospice nurse is reviewing religious practices of a A nurse in a long-term care facility is caring for an older adult client and notes their muscles have become smaller and weaker. Increased need for sleep D. The client's family asks the nurse for information about this type of care. Doing quadriceps-setting and gluteal-setting exercises 4. Which of the following interventions should the nurse identify as a priority?, A nurse is contributing to the plan of care for a client who has COPD. Palpate joints for pain, swelling, change in temperature, and range of motion. Which assessment finding led the nurse to this conclusion? (Select all that apply. Which is an internal resource that the client has to help her attain her self-care goals? (Ch. The nurse plans to implement which activities in the care of the client? See full list on nurseslabs. Learning Objectives. Prioritizing interventions to improve mobility and providing assistive devices is crucial. Sarcopenia B. A medic is caring for a client who has limited mobility in his lower extremities. The nurse is caring for a client who has had an open reduction with internal fixation (ORIF) with a posterior approach. What does the nurse recall is the most common cause of this response? 1. C. Always use two personnel to move the client. Client states, "I am having trouble making it to the bathroom on time and I'm up throughout the night needing to urinate. Which of the following explanations should the nurse provide? a. , The nurse puts elastic stockings on a client following major abdominal Study with Quizlet and memorize flashcards containing terms like 1. Atrophy D. GI Assessment F The nurse is planning care for a client who has limited bed mobility. hemodynamic changes related to tilt table positioning 2. This practice, along with regular repositioning and skin hydration, mitigates the risk of bedsores which are caused by sustained pressure on bony areas. Before attempting to move a client up in bed, the nurse should review the medical record and the nursing plan of care. Have the client use a trapeze bar when changing position. deteriorating myelin sheath 3. Which of the following actions should the nurse take to prevent skin breakdown? Place the client in high-Fowler's position. The nurse determines that the client needs further teaching if the nurse observes the client doing which activity? 1. Which of the following actions should the nurse take first? A. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. Recognize and report significant deviations from norms. For which client should the nurse anticipate an order for administering 1000 mg of aspirin? A) A 68-year-old client with rheumatoid arthritis who is experiencing hand pain B) A 5-year-old client who is experiencing ankle pain after a fall from a horse C) A 38-year-old client who is experiencing headache pain after a skiing accident D) A 70-year A nurse is caring for a client who has limited mobility. ) Placing the client's left leg in front of the right The nurse is providing care for several clients. What should the nurse do?, Which statement reflects nursing management of the client with expressive aphasia? and more. Hold the container of solution level with the client's upper hip A nurse is caring for a client who has limited mobility in his lower extremities. Which of the following actions should the nurse take to prevent skin breakdown? O Place the client in high-Fowler's position. com A nurse is caring for a client who has limited mobility in their lower extremities. correct action is to B)apply pressure-relieving cushions Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with diabetes mellitus who is scheduled to have a right below-knee amputation. Pulling up on the trapeze 2. Pulselessness Pallor Reflexes Sensation Movement, The nurse is caring for a client in the emergency department with Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer a cleansing edema to a client. Which of the following actions should the nurse take to prevent skin breakdown? A) Place the client in high-Fowler's position. Decreased proprioception B. To prevent self-injury, which of the following actions should the nurse take when lifting?, a nurse is evaluating a client's use of a cane. The nurse is providing care for several clients. Study with Quizlet and memorize flashcards containing terms like A client is admitted with weakness, expressive aphasia, and right hemianopia. 3. Modify assessment techniques to reflect variations across the life span. Based on these symptoms, the nurse formulates "Impaired physical mobility" as one of the nursing diagnoses applicable to the client. Maintain the client in high-Fowler's position. which of the following responses should the nurse make? he is doing well, although he might be in the hospital for some time he has an electrical burn. . maintain the client in high-fowler's position The nurse will take the precaution of using an electric razor when assisting the client with shaving. MUSCULOSKELETAL ASSESSMENT INTRODUCTION. B) Have the client use a trapeze bar when changing position. For which client should the nurse anticipate an order for administering 1000 mg of aspirin? A) A 68-year-old client with rheumatoid arthritis who is experiencing hand pain B) A 5-year-old client who is experiencing ankle pain after a fall from a horse C) A 38-year-old client who is experiencing headache pain after a skiing accident D) A 70-year A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. Increased myelinization C. Sep 17, 2023 · In caring for a client who has limited mobility in his lower extremities, the nurse needs to consider strategies for preventing skin breakdown, which is a common issue in such cases. yfr jou btkdu bdkchhj xji zvt tgushv dknk debvow ktd