Nokea
After surgery for bilateral adrenalectomy, the client is kept on bed rest for several days to stabilize the body's need for steroids postoperatively. Which of the following exercises will be most effective for preparing a client for ambulation after a period of bed rest?
- A. Alternately flexing and extending the knees.
- B. Alternately abducting and adducting the legs.
- C. Alternately stretching the Achilles tendons.
- D. Alternately flexing and relaxing the quadriceps femoris muscles.
Correct Answer: A
Rationale: Knee flexion and extension strengthen leg muscles, preparing the client for ambulation after bed rest.
You may also like to solve these questions
Contraindications to the administration of tissue plasminogen activator (t-PA) include which of the following?
- A. Age greater than 60 years.
- B. History of cerebral hemorrhage.
- C. History of heart failure.
- D. Cigarette smoking.
Correct Answer: B
Rationale: A history of cerebral hemorrhage is an absolute contraindication to t-PA due to the risk of bleeding. Age, heart failure, and smoking are not contraindications.
A client is scheduled for a cardiac catheterization. The nurse should do which of the following preprocedure tasks? Select all that apply.
- A. Administer all ordered oral medications.
- B. Check for iodine sensitivity.
- C. Verify that written consent has been obtained.
- D. Withhold food and oral fluids before the procedure.
- E. Insert a urinary drainage catheter.
Correct Answer: B,C,D
Rationale: Checking iodine sensitivity (B), verifying consent (C), and withholding food/fluids (D) are standard pre-catheterization tasks to ensure safety and preparedness.
A sedentary, obese, middle-aged client is recovering from a right iliac blood clot. The nurse should develop a discharge plan with the client that will focus on participating in which of the following activities? Select all that apply.
- A. Aerobic activity
- B. Strength training
- C. Weight control
- D. Stress management
Correct Answer: A,C,D
Rationale: Rationales: A) Aerobic activity (e.g., walking) improves circulation and reduces clot recurrence. C) Weight control decreases venous pressure and clot risk. D) Stress management reduces sympathetic activation, aiding vascular health. B) Strength training is less critical for clot management and may be contraindicated initially.
A 75-year-old client who has been taking furosemide (Lasix) regularly for 4 months tells the nurse that he is having trouble hearing. What would be the nurse's best response to this statement?
- A. Tell the client that because he is 75 years old, it is inevitable that his hearing should begin to deteriorate.
- B. Have the client immediately report the hearing loss to his physician.
- C. Schedule the client for audiometric testing and a hearing aid.
- D. Tell the client that the hearing loss is only temporary; when his system adjusts to the furosemide, his hearing will improve.
Correct Answer: B
Rationale: Furosemide can cause ototoxicity, leading to hearing loss. The nurse should advise the client to report this to the physician promptly for further evaluation and management.
What is the primary goal collaboratively established by the client with Parkinson's disease, nurse, and physical therapist?
- A. To maintain joint flexibility.
- B. To build muscle strength.
- C. To improve muscle endurance.
- D. To reduce ataxia.
Correct Answer: A
Rationale: Maintaining joint flexibility is the primary goal to prevent contractures and maintain mobility in Parkinson's disease. Strength, endurance, and ataxia (less common in Parkinson's) are secondary.