A nurse is caring for a client who has decreased mobility

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