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A nurse is caring for clients as a member of the rehabilitation team. Which activities should the nurse perform? (Select all that apply.)
- A. Maintain the safety of adaptive devices by monitoring their function and making repairs.
- B. Coordinate rehabilitation team activities to ensure implementation of the plan of care.
- C. Assist clients to identify support services and resources for the continuation of services.
- D. Counsel clients and family members on strategies to cope with disability.
- E. Support the clients' choices by acting as an advocate for the client and family.
Correct Answer: B,E
Rationale: The rehabilitation nurse coordinates team activities to ensure the plan of care is implemented and advocates for the client and family. Maintaining adaptive devices is the role of a biomedical technician, assisting with support services is the social worker's role, andcounseling on coping strategies is handled by a clinical psychologist.
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A rehabilitation nurse cares for a client who has generalized weakness and needs assistance with activities of daily living. Which exercise should the nurse implement?
- A. Passive range of motion
- B. Active range of motion
- C. Resistive range of motion
- D. Aerobic exercise
Correct Answer: B
Rationale: Active range of motion exercises promote strength, range of motion, and independence with activities of daily living, making them appropriate for a client with generalized weakness. Passive range of motion is suitable for clients unable to move independently, resistive range of motion may be too strenuous, and aerobic exercise may not directly address the client's need for improved daily function.
A nurse assesses a client recovering from coronary artery bypass graft surgery. Which assessment should the nurse complete to evaluate the client's activity violence?
- A. Vital signs before, during, and after activity
- B. Body image and self-care abilities
- C. Vital signs use and self-care device devices
- D. Clients electrocardiography readings
Correct Answer: A
Rationale: To see whether a client is tolerating activity, vital signs are measured before, during, and after the activity. If the client is not tolerating activity, heart rate may increase more than 20 beats/min, blood pressure may increase more than 20 mmHg, or the client may experience symptoms indicating intolerance. Body image assessment is not necessary before basic activities are performed. Self-care abilities and ability to use assistive or adaptive devices are important when planning rehabilitation activities but do not provide essential information about activity tolerance. Electrocardiography is not typically used to monitor clients in a rehabilitation setting for activity tolerance.
A nurse teaches a client with a past history of angina who has had a total knee replacement. Which statement should the nurse include in this client's teaching prior to beginning rehabilitation activities?
- A. Use analgesic before and after activity, even if you are not experiencing pain.
- B. Let me know if you start to experience shortness of breath, chest pain, or fatigue.
- C. Use physical therapy before and after activity.
- D. If you experience knee pain, ask the physical therapist to reschedule your therapy.
Correct Answer: B
Rationale: Participation in exercise may increase myocardial oxygen demand beyond the ability of the coronary circulation to deliver enough oxygen to meet the increased need. The nurse must instruct the client to report symptoms such as shortness of breath, chest pain, or fatigue, which indicate that the heart is not receiving adequate oxygen during activity. Using analgesics prophylactically is not necessary unless prescribed. Physical therapy is a structured program, not something used before and after activity. Rescheduling therapy due to knee pain may delay recovery, and pain should be managed appropriately instead.
A nurse cares for a client with decreased mobility. Which intervention should the nurse implement to decrease this client's risk of fracture?
- A. Apply shoes to improve foot support.
- B. Perform weight-bearing activities.
- C. Increase calcium-rich foods in the diet.
- D. Use pressure-relieving devices.
Correct Answer: B
Rationale: Weight-bearing activity reduces bone mineral loss and promotes bone uptake of calcium, decreasing the risk of fractures in clients with decreased mobility. While increasing calcium-rich foods is beneficial for bone health, it alone will not sufficiently reduce fracture risk. Foot support and pressure-relieving devices help with mobility and skin integrity but do not directly address bone strength or fracture prevention.
A nurse performs passive range-of-motion exercises on a semiconscious client and meets resistance while attempting to extend the right elbow more than 45 degrees. Which action should the nurse take next?
- A. Splint the joint and continue passive range of motion to the shoulder only.
- B. A passive range of motion to the right elbow and the right knee back to the right.
- C. Apply weights to the right distal extremity before initiating any joint exercise.
- D. Continue to move the joint only to the point at which resistance is met.
Correct Answer: D
Rationale: Moving a joint beyond the point at which the client feels pain or resistance can damage the joint. The nurse should move the joint only to the point of resistance to prevent injury. Splinting the joint will not assist the client's range of motion and may restrict it further. The option of passive range of motion to the elbow and knee is unclear and not a standard practice. Applying weights to the extremity will not increase range of motion and could cause harm.