Nokea
Which of the following rehabilitative measures should the nurse teach the client who has undergone chest surgery to prevent shoulder ankylosis?
- A. Turn from side to side.
- B. Raise and lower the head.
- C. Raise the arm on the affected side over the head.
- D. Flex and extend the elbow on the affected side.
Correct Answer: C
Rationale: Raising the arm overhead prevents shoulder ankylosis (stiffness) by maintaining range of motion post-chest surgery. Other movements are less specific to shoulder mobility.
You may also like to solve these questions
Which of the following statements would indicate to the nurse that the client who has undergone repair of her nasal septum has understood the discharge instructions?
- A. I should not shower until my packing is removed.
- B. I will take stool softeners and modify my diet to prevent constipation.
- C. Coughing every 2 hours is important to prevent respiratory complications.
- D. It is important to blow my nose each day to remove the dried secretions.
Correct Answer: B
Rationale: Taking stool softeners and modifying the diet to prevent constipation avoids straining (Valsalva's maneuver), which could cause bleeding or complications post-nasal surgery.
Metoclopramide (Reglan) is ordered as a premedication for a client about to undergo a gastroduodenoscopy. The nurse expects which of the following as the primary therapeutic effect?
- A. Increased gastric pH.
- B. Increased gastric emptying.
- C. Reduced anxiety.
- D. Inhibited respiratory secretions.
Correct Answer: B
Rationale: Metoclopramide promotes gastric emptying, which is beneficial before gastroduodenoscopy to reduce the risk of aspiration and improve visualization.
The nurse is instructing a young adult with Addison's disease how to adjust the dose of glucocorticoids. The nurse should explain that the client may need an increased dosage of glucocorticoids in which of the following situations?
- A. Completing the spring semester of school.
- B. Gaining 4 pounds.
- C. Becoming engaged.
- D. Undergoing a root canal.
Correct Answer: D
Rationale: Stressful situations like surgery or dental procedures (e.g., root canal) increase glucocorticoid needs in Addison's disease to prevent adrenal crisis.
A client who had a gastrectomy has been in the postanesthesia recovery room for 30 minutes when his vital signs suddenly change. In addition to notifying the physician, what other action should the nurse take immediately?
- A. Administer oxygen.
- B. Elevate the head of the bed 30 degrees.
- C. Administer a bolus of I.V. fluids.
- D. Insert an indwelling urinary catheter.
Correct Answer: A
Rationale: Sudden vital sign changes post-gastrectomy suggest hypoxia or shock. Administering oxygen addresses potential respiratory compromise, a common postoperative issue, while awaiting physician guidance.
The nurse is preparing a 3-year-old child for an incision and drainage of a large left leg abscess. The nurse understands which of the following types of anesthesia will be administered to the child?
- A. Peripheral nerve block
- B. Spinal anesthesia
- C. General Anesthesia
- D. Local Anesthesia
Correct Answer: C
Rationale: General anesthesia is typically used for young children undergoing procedures like incision and drainage to ensure safety and comfort.