A nurse is caring for a client who has limited mobility in their lower extremities
A nurse is caring for a client who has limited mobility in their lower extremities. A client who has been lying prone reports shortness of breath and a sensation of choking. During the physical assessment, the nurse should include which components during inspection and palpation of the injury? Select all that apply. -Feet are warm. hat does that involve?" Which of the following responses should the nurse make? "I'll get a blood sample from you and send it for a screening test. She has been experiencing increased nausea and vomiting associated with treatment. b)Have the client lie as still as possible, and give adequate pain medication. -After applying the Study with Quizlet and memorize flashcards containing terms like A client has closed fractures of the right femur and tibia with multiple soft-tissue contusions. Abdominal Study with Quizlet and memorize flashcards containing terms like The bed bound client complaints of pain and burning in the right calf area. Which of the following actions should the nurse take to maintain the client's skin integrity?Use warm water when bathing the client. Hypoactive bowel sounds. Three-point C. The brain MRI reveals an infarct. client is orientated to person, place, and time. The nurse is planning care for a client who has limited bed mobility. Deeply palpate the area for rebound tenderness d. 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. A nurse is caring for a client who has limited mobility in his lower extremities. 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 A nurse is communicating with a client who has aphasia after having a stroke. Bilateral breath 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. Place a donut-shaped cushion in the client's chair. -Plantar The nurse has provided instructions regarding specific leg exercises for the client immobilized in right skeletal lower leg traction. 5 Apr 30, 2024 · The following are the nursing priorities for clients needing assistance with self-care needs and have ADL limitations: Limited physical mobility. Neuro Assessment B. 5 mEq/L (1. Which of the following conditions should the nurse suspect ti client is experiencing?, A nurse is performing a focused assessment on an older adult client's mobility. A nurse is caring for a client who has limited mobility in their lower extremities. Which is an internal resource that the client has to help her attain her self-care goals? (Ch. C) Massage reddened areas with unscented lotion. Providing education about the condition, treatment plan, and lifestyle modifications is essential to promote client adherence to the care plan. What would the nurse know this client has? A. BASIC CONCEPTS. the nurse attempts to straighten the client's leg as the client offers resistance 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. Perform passive range-of-motion (ROM) exercises. B) Have the client use a trapeze bar when changing position. c)Encourage coughing and deep breathing, and limit fluid intake. 32) -She has the motivation to participate in self-care. Restrict the client's fluid intake. Based on these symptoms, the nurse formulates "Impaired physical mobility" as one of the nursing diagnoses applicable to the client. This chapter will discuss nursing assessments and interventions related to promoting mobility. Which action should the nurse include in the plan of care to help maintain skin integrity? A. Performing active range of Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is on bed rest for a month. Doing quadriceps-setting and gluteal-setting exercises 4. Swing-through, A nurse is reinforcing teaching with the partner of a client who is immobile. Reported pain lvl E. 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 A nurse is caring for a client who has a wrist fracture. Bony deformity 3. " "Beginning Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in the care of a client in a medical-surgical unit. Peripheral vascular disease 6 B. 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 Chapter 8 discussed how nursing assistants help clients with mobility with actions ranging from repositioning them in bed, transferring them out of bed to a chair, or ambulating them in the hallway. 5 to 5 mEq/L) Chloride 104 mEq/L (98 to 106 mEq/L ) BUN 15 mg/dl (10 to 20 mg/dl) Magnesium 1. Self-care A nurse is caring for a client who has limited mobility in his lower extremities. The patient may be able to use a trapeze bar The nurse should assess which client for possible deep venous thrombosis? (Select all that apply. Explanation: A nurse caring for a client with limited mobility in their lower extremities can take The nurse is planning care for a client who has limited bed mobility. 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. ) 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 Aug 22, 2022 · Over 150,000 people undergo amputations of the lower extremity in the United States each year. Two-point D. Encourage the client to perform antiembolic exercises every 2 hr. Which of the following actions should the nurse take first? A. Encourage self-care. thalamus and hypothalamus. Incisional drainage C. The nurse understands that an immobile client may have poor body alignment, which may lead to complications. 1. Client can move all extremities. History and Physical Three days ago:Current diagnoses- type 2 diabetes mellitusPast medical history- left below the knee amputation 5 years ago. 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. Why is it important for the nurse to soak the client's hands in warm water prior to nail care?, Which action(s) is The nurse is caring for an elderly client with a fractured hip who is on bed rest. Which of the following findings should indicate to Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a recent lower extremity injury. The nurse is caring for a client with multiple areas of skin breakdown on the back. , The nurse is assessing the client's coordination and finds that her movements are clumsy, unsteady, and inappropriately varying in their speed, force, and direction. medulla oblongata and cerebrum. All other actions are inappropriate Study with Quizlet and memorize flashcards containing terms like A client is admitted with weakness, expressive aphasia, and right hemianopia. To deselect a finding, click on the finding again. Within 6 hours of being admitted 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. Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating the crutch-walking technique of a client who is required to keep weight off their right leg. Fecal impaction, A nurse is caring for a client who is on bed rest. 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 preparing to administer a cleansing edema to a client. C. What should the nurse do?, Which statement reflects nursing management of the client with expressive aphasia? and more. The client has a diagnosis of multiple sclerosis (MS). A nurse in a long-term care facility is caring for an older adult client and notes their muscles have become smaller and weaker. Peripheral neuropathy 5. If necessary, the nurse can balance the client on his or her hip until her arrives, or slide the client gently down the length of the nurse’s leg to the floor. Medicate the client for pain and reassess in 30 min c. 1 mEq/L ) Total calcium 8 mg/dL (9 to 10. Hold the container of solution level with the client's upper hip Study with Quizlet and memorize flashcards containing terms like The plan of care for a client with osteoporosis includes active and passive exercises, calcium supplements, and daily vitamins. pons and brainstem. Which of the following actions should the nurse take to prevent skin breakdown? Place the client in high-Fowler's position. the client is being evaluated today for a potential sprain in the right ankle. Always use two personnel to move the client. com Oct 25, 2021 · Impaired physical mobility is a common nursing diagnosis that is often multifactorial. -Ensure the client's toes are visible after placing the stockings on the client. 3. In which position will the nurse choose to place the client to improve arterial oxygenation?, 2. Patients with paraplegia can still perform self-care activities as they have the use of their arms. Which of the following actions should the nurse take to prevent skin breakdown? A) Place the client in high-Fowler's position. The client has a reddened area on their sacrum and an open wound on their A nurse is caring for a client who has limited mobility in his lower extremities. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a prescription for knee length antiembolic stockings. Which of the following interventions should the nurse plan to implement? A. D. ) Placing the client's left leg in front of the right The nurse is providing care for several clients. Which action can the nurse delegate to an unlicensed assistive personnel (UAP)?, A nurse is providing nail care to a client at a health care facility. Hold the container of solution 30 cm (12 in) above the anus. , The nurse puts elastic stockings on a client following major abdominal The nurse is providing care for several clients. Reposition the client every 4 hr. Maintain the client in high-Fowler's position. 4. See full list on nurseslabs. Highlight the food items that aid in the wound-healing process, The nurse is caring for a client with a history of a complete T6 spinal cord injury. Client states, "I am having trouble making it to the bathroom on time and I'm up throughout the night needing to urinate. Four-point B. Which of the following actions should the nurse take to prevent skin breakdown? Physiology May 20, 2024 · A nurse is caring for a client who has limited mobility in their lower extremities. Which of the following actions should the nurse take to prevent skin breakdown? A) Place the client in high-Fowler’s position. Which of the 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. the client states, "I am not sure how this happened. [1] This incidence is directly proportional to rates of peripheral arterial occlusive disease, neuropathy, and soft tissue sepsis. Which nursing interventions would be included on the plan of care? a)Provide only passive range of motion (ROM), and decrease stimulation. Study with Quizlet and memorize flashcards containing terms like A client is undergoing chemotherapy for ovarian cancer which has metastasized. The nurse suspects the client has a fat embolism. A nurse is checking a client's muscle strength. -She has good Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. Disuse osteoporosis C. Measure the calf and compare to the opposite calf b. Which of the following actions should the nurse take to prevent skin breakdown? O Place the client in high-Fowler's position. Which intervention is the most effective for temporary relief of the symptoms? resting the legs taking pain medication exercising the legs taking antidepressant medication Question: A nurse is caring for a client who has limited mobility. Have the client use a trapeze bar when changing position. Which of the following actions should the nurse take? -Place the stockings on the client after the client ambulates to the restroom. 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. 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. 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. Instruct the client to cough and deep breath every 4 hr. The nurse determines that the client needs further teaching if the nurse observes the client doing which activity? 1. Stand at the head of the bed to pull the client up. 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. Encourage fluid intake. Place a turn sheet on the bed. Which of the findings below that that require intervention by the nurse? -Client is repositioned every 2 hr. It is necessary to provide the client with an anti-decubitus mattress, turn the client every 2 hours, and more often if necessary. This chapter will focus on how the nursing assistant promotes client functioning and independence through rehabilitation and restorative care. a. Go to: 13. Reposition the patient frequently and keep IV lines and cords away from their body to prevent damaging tissues. A. What desired effect would the nurse look for if therapy is effective?, A nurse advises parents to assist their child with stretching exercises. Muscle atrophy C. The nurse assesses their nutrition. Which of the following is the proper crutch gait for this client? A. Into which position will the nurse place the client?, 3 Study with Quizlet and memorize flashcards containing terms like A nurse is taking care of a client who needs a bed bath. 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 Feb 26, 2023 · The patient may not be able to feel sharp or painful sensations. Pedal pulses 2 + bilaterally. Stasis of secretions B. The nurse assesses which factors that can put this client at risk for amputation? Select all that apply. Nursing Assessment A nurse is planning care for a client who has been diagnosed with restless leg syndrome. Which of the following actions by the nurse demonstrates correct transfer technique? A. Indicate if the assessment finding is expected, unexpected, or unrelated to the client's fracture. Which findings are manifestations of fat embolism? Select all that Study with Quizlet and memorize flashcards containing terms like The client returns to the provider's office 3 days later. 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 The nurse is caring for three clients with tissue integrity problems. Nurses assist patients to be as mobile as possible, based on their individual circumstances, to achieve their highest level of independence, prevent complications, and promote a feeling of well-being. Limited joint mobility 4. ) Positioning the chair slightly behind the nurse so that the seat faces the client's bed. Pulling up on the trapeze 2. " Client alert and oriented x 3. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 1 day postoperative following a total thyroidectomy. Study with Quizlet and memorize flashcards containing terms like 1. What instruction should be given to the assistive personnel who will be caring for this client? Standard Text: Select all that apply. . 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 Study with Quizlet and memorize flashcards containing terms like The client returns to the provider's office 3 days later. The inability to move freely can affect a client’s ability to perform ADLs and self-care tasks. What instruction should be given to the assistive personnel who will be caring for this client? (Select all that apply. Pressure ulcer D. Which of the following problems is the client at risk for developing? A. Prioritizing interventions to improve mobility and providing assistive devices is crucial. 5 mEq/L (3. Nurses' NotesThree days ago, 1000:Client admitted from home reports a pressure injury. 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. Flexing and extending the feet 3. How should the nurse assess body alignment in this client? 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 is evaluating a client after injury to the wrist. 2. Client drowsy but responses to verbal stimuli. Provider and wound care The nurse is providing care for several clients. Urinary output D. Percuss over the area for changes in tone, The 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. What actions should be taken by the nurse? a. 3 to 2. Which of the following puts the client at greater risk for developing pneumonia?, a nurse is caring for a The nurse will create a wide base of support by placing his or her foot to the side, and sliding an arm under the client’s axilla. 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. Turn him regularly. Request that a respiratory therapist discuss the technique for incentive spirometry. A client with right sided hemiparesis has limited mobility. Which of the following techniques should the nurse use? a. What are some actions that the nurse should take to prevent skin breakdown?. The nurse notes that client has dysmetria. O Have the client use a trapeze bar when changing position. Joint contracture Study with Quizlet and memorize flashcards containing terms like A nurse in a clinic is caring for a middle adult client who states, " The doctor says that, since I am at average risk fro colon cancer, I should have a routine screening. -Passive range-of-motion exercises to lower extremities performed once each day. GI Assessment F Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who had a spinal cord injury and has paraplegia. B. B) Increase the client’s intake of carbohydrates. Keep the container of solution at a level to maintain client comfort. Laboratory Results 0700: Sodium 143 mEq/L (136 to 145 mEq/L) Potassium 3. Bilateral breath Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client's mobility and notes one of the client's feet drags behind them when ambulating. The child has impaired physical mobility due to A nurse is planning care for a client who is on bed rest. , A nurse is caring for a client on the orthopedic floor. ) 1. Among the options provided, having the client use a trapeze bar when changing positions is the most suitable. the client shrugs her shoulders while the nurse applies firm pressure over the midline of the shoulders c. 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. Atrophy D. 2. Click to highlight the assessment findings below that the nurse should report to the provider. 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 The nurse is planning care for a client who has limited bed mobility. Psoriasis 2. Which action would the nurse plan to take? a) perform a neurovascular assessment of the extremity b) reassure the client that these injuries are not that serious c) gather equipment needed for the application of skeletal traction d Apr 30, 2024 · Clients and their families may have a limited understanding of impaired tissue perfusion and its management. [2] This correlation is due to the increased incidence of diabetes mellitus, which is present in 82% of all vascular-related lower extremity amputations in the United Oct 10, 2023 · 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? 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 Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has been sitting in a chair for 3 hr. Which of the following should the nurse suspect the client is experiencing? A. The nurse is providing care for several clients. Massage reddened areas over bony prominences. Message bony prominences. the nurse holds the sides of the client's head and attempts to turn it while the client resists b. Sarcopenia B. rxjhmdpqjhmwucwlubqpkvmsuotbfiupdanzmvcomzfpfzyyiq