A nurse is assessing an adult client who has been immobile for the past 3 weeks. for which of the following findings should the nurse intervene? Erythema on pressure points ( relief of pressure= no pressure ulcer) Jul 8, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requires a 24-hr urine collection. 2. Which of the following information should the nurse include in the teaching?, A nurse is giving change-of-shift report about a client they admitted earlier that day who has pneumonia. " The nurse suspects that the client may be experiencing A. Drug adverse effects D. The nurse should identify that which of the following findings requires further intervention? Erythema on pressure points. A nurse is assessing an older adult client who has hemiparesis (paralysis of one side of the body) following a stroke. A nurse is reviewing the laboratory results of a client who has been receiving injections of epoetin alfa for the past 3 weeks. How should the nurse best interpret this assessment finding?, Herpes zoster (shingles) is not contagious and cannot be transmitted to nonimmune contacts. Which of the following findings should the nurse identify as an indication that the client A nurse is assessing an adult client who has been immobile for the past 3 weeks. For which of the following findings should the nurse intervene? Erythema on pressure points a nurse is assessing an adult client who has been immobile for the past 3 weeks. Which of the following pieces of information is A nurse is calculating a client's fluid intake over the past 8 hr. The nurse should identify that which of the following findings requires further intervention? A. Study with Quizlet and memorize flashcards containing terms like A charge nurse is discussing the responsibility of nurses carig for clients who An 81-year-old resident of an elder care facility is immobile and has been restricted to bed for the past 6 weeks. Which of the following findings should the nurse identify as a potential indication of elder abuse? a. 5. Erythema on pressure points B. no bowel movement for the last 48-72 hours Cinability to perform active range of motion exercises in bed D. " How should the nurse bestrespond to the client's statement? A nurse is assessing an adult client who has been in mobile for the past three weeks. The nurse asks the client t The nurse asks the client t Answered over 90d ago a nurse is assessing an adult client who has been immobile for the past 3 weeks. 5 of 5 An adult client, diagnosed with depression several weeks ago, has begun taking citalopram 10 days ago. for which of the following findings should the nurse intervene? A nurse is assessing an adult client who has been immobile for the past 3 weeks. Which of the following findings should the nurse identify as an indication that the client Which of the following actions should the nurse take?, A nurse is assessing an adult client who has been immobile for 3 weeks. B. What would be an appropriate question for the nurse to ask the client?, A nurse assessing an older adult client finds that the client has had four urinary tract infections in the The nurse is aware that certain factors, including high blood pressure, affect the client's capacity to exercise. This is a serious condition where prolonged immobility can lead to tissue death and infection which can spread if not promptly treated. The nurse is assessing the body Select all that apply. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis?, A nurse is caring for a PT who requires 24-hour urine collection. The health care provider recently discovered a decubitus injury on the left buttock. A nurse is caring Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring fluid intake and output (I&O) for a client who has diarrhea. which of the following methods should the nurse use as a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requires a 24-hr urine collection. Which of the nursing interventions would the nurse implement? Select all that apply 1. What will the nurse document as input on the record? Select all that apply. for which of the following findings should the nurse intervene? erythema on pressure points A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. A nurse is completing an admission a nurse is assessing an adult client who has been immobile for the past 3 weeks. After noting the son's comments and assessing the client, which cognitive problem does the nurse suspect the client may have? A. D. BP of 7745 mm Hg when placed in a sitting position Oct 3, 2023 · In the scenario given, a nurse is assessing an adult client who has been immobile for the past 3 weeks. In report, the nurse is told that the client has just signed consent for amputation of the limb and that the procedure is scheduled for Study with Quizlet and memorize flashcards containing terms like A charge nurse is discussing the responsibility of nurses caring for clients who have C. A bowel movement every other day Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who started a prescription for phenytoin 3 weeks ago. Gluteal muscle contraction 3. A nurse is assessing an adult who has been immobile for the past 3 weeks. 4. A bowel movement every other day. For which of the following findings should the nurse intervene? a) Increased muscle mass b) Deep vein thrombosis c) Improved lung function d) Increased joint flexibility Study with Quizlet and memorize flashcards containing terms like a nurse is teaching an older adult client who is at risk for osteoporosis aboutbeginning a program of regular physical activity. , When caring for a client with a . Which of the following actions should the nurse take as part of the medication reconciliation process?, A nurse is admitting a client how has rubella. The nurse would need to identify findings that requires further intervention. Which of the following statements by the client indicates an understanding of the teaching? Jan 18, 2024 · A nurse is assessing an adult client who has been immobile for the past 3 weeks. for which of the following findings should the nurse intervene Here’s the best way to solve it. , The nurse is caring for a pediatric client who is immobile. "The client reports difficulty with dressing. During which season does dry skin become worse?, An adult client has a large number of nevi on her neck and back. a nurse is assessing an adult client who has been immobile for the past 3 weeks. " b. The client tells the nurse that her legs "seem cold all the time and sometimes feel tingly. which of the following types of activity should the nurse recommend?, a nurse is assessing a client's readiness to learn about insulin administration. Assess pressure points for skin changes. Which Jun 29, 2024 · The nurse is assessing the peripheral vascular system of an older adult client. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a pediatric client who is immobile. In the four options given, the answer would be A) Erythema on pressure points. Which strategies are important for the nurse to emphasize as the client enters this phase? Select all that apply. - one bowel movement ever other days An 81-year-old resident of an elder care facility is immobile and has been restricted to bed for the past 6 weeks. To specifically promote the use of resistive isometric exercise for the client, the nurse will initiate: 1. " d. Dementia A nurse is caring for a client who requires a 24-hr urine collection. D) Use a clock pattern to describe food on the client’s plate. intermittent claudication. What is the best description to include in the assessment about papules?, The student nurse is reviewing a client Dec 20, 2023 · A nurse is assessing an adult client who has been immobile for the past 3 weeks. Maintain the feet in dorsiflexion position. thrombophlebitis. 3. What Feb 5, 2024 · A nurse is assessing an adult client who has been immobile for the past 3 weeks. A client has been prescribed bed rest for a prolonged time. " c. Which of the following findings should the nurse report to a nutritionist? a. Lower-extremity pulse strength of 2+. for which of the following findings should the nurse intervene? A nurse is assessing an adult client who has been immobile for the past 3 weeks. The caregiver is the client's financial power of attorney b. Explore diversional activities. which of the following statements should the nurse Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requires a 24-hr urine collection. On-going support from Download ATI FUNDAMENTALS PRACTICE TEST B 2022/2023 QUESTIONS AND ANSWERS GRADED A+ and more Nursing Exams in PDF only on Docsity! ATI FUNDAMENTALS PRACTICE TEST B 2022/2023 QUESTIONS AND ANSWERS GRADED A+ A nurse on a medical unit is preparing to discharge a client to home. Decreased breath sounds in the lower lobes. Which of the following statements by the client indicates an understanding of the teaching?, A nurse is assessing a client who has been on bed rest for the past month. Pushing against a footboard, 2. For which of the following findings should the nurse intervene? A nurse is caring for a client who has been immobile for the past three weeks while recovering from surgery. The nurse should identify that which of the following findings requires further intervention? A) Erythema on pressure points B) Lower extremity pulse strength of 2+ C) Fluid intake of 3000 mL per day D) Bowel movement every other day A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should intervene if they observe any of A nurse is assessing an adult client who has been immobile for the past 3 weeks. "The client has a decrease in lean body mass. 1) Increased muscle strength: This finding is a positive outcome of physical activity and exercise. The nurse should identify that which of the following findings requires further intervention? a) Increased muscle strength b) Presence of dependent edema c) Normal bowel sounds d) Skin breakdown over bony prominences Oct 10, 2023 · When assessing an immobile client, a nurse should intervene for signs of pressure ulcers or bedsores, deep vein thrombosis, and pneumonia, all of which are common issues in patients with prolonged immobility. A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. Which assessment should the nurse conduct first? The community health nurse has been providing care for an older adult client or several weeks. , A client suffering from chronic obstructive pulmonary disease (COPD) reports that it is hard to cough up secretions and the secretions are thick and sticky. The nurse should identify that which of the following findings requires further intervention? A) Erythema on pressure points B) Lower extremity pulse strength of 2+ C) Fluid intake of 3000 mL per day D) Bowel movement every other day Study with Quizlet and memorize flashcards containing terms like A 20-year-old female tells the nurse she is concerned about getting a good suntan before going on a vacation. Lower-extremity pulse strength of 2+ C. The nurse should identify that which of the following findings require further intervention? A. Which etiology is most likely? Q The nurse is caring for a client who reports a sudden, severe headache, and facial numbness. The client's son is currently experiencing financial problems. Fluid intake of 3,000 mL per day D. The nurse should identify that which of the following findings requires further intervention? A) Erythema on pressure points B) Lower-extremity pulse strength of 2+ C) Fluid intake of 3,000 mL per day The son of an older adult client states that he has noticed progressive periods of forgetfulness in his father over the past year. Which of the following laboratory findings should the nurse identify as an indication that the treatment is effective? Question 9 A nurse is assessing a client who has been immobile and bedridden fer several weeks due to multiple fractures, Which of the following findings should be the nurse's priority A weak muscles on both lower extremities 8. difficile. Based on the nurse’s knowledge of the effects of immobility, which of the following describes the cardiovascular complications that can develop because of Sep 13, 2023 · The nurse should intervene for deep vein thrombosis (DVT) (Option B. Which of the following findings should the nurse identify as an indication that the client Nov 26, 2023 · A nurse is assessing an adult client who has been immobile for the past 3 weeks. The client is now entering the maintenance phase of the health promotion plan. varicose veins. Quadriceps setting 2. of older adults at a senior living center. The nurse should identify that which of the following findings requires further intervention? Erythema on pressure points A nurse is assessing an adult client who has been immobile for the past 3 weeks. Perform range of motion exercises. During the past three visits, the client has been responding to questions with an uncharacteristically hostile tone and has suggested that the nurse has dishonest motives for visiting the home. Moving the arms and legs in circles 4. Reduced range of motion in the joints. Fluid intake of 3,000 mL per day. A nurse is caring for a client who requires a 24-hr urine collection. which of the following findings should the nurse identify as an adverse effect of this medication?, A nurse is assessing a client who has been taking levothyroxine for 3 months to treat hypothyroidism. and more. Delirium C. Erythema on pressure points. Presence of dependent edema in the sacral area. The nurse should identify which of the following actions requires further intervention? Erythema on pressure points Lower-extremity pulse strength of 2+ Fluid intake of 3,000 mL per day A bowel movement every other day A nurse is calculating a client's fluid intake over the past 8 hr. for which of the following findings should the nurse intervene? erythema on pressure points a nurse is planning on teaching for a group of adolescents who each recently had surgical placement of an ostomy. Edema and tenderness in the lower extremities. edema. C. ) during the assessment of an adult client who has been immobile for the past 3 weeks. which of the following findings should the nurse expect as Study with Quizlet and memorize flashcards containing terms like 1. Match the neurovascular check with the correlating nursing action. Prolonged immobility can increase the risk of developing blood clots, such as DVT. "The client reports living alone. 1. A nurse is caring Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who began taking verapamil 3 days ago. The nurse should identify that which of the following requires further intervention? a) Skin intact over bony prominences b) Capillary refill of 2 seconds c) Blood pressure of 120/80 mm Hg d) Edema in the lower extremities The nurse is assessing an older male adult client who lives in his son's home. Depression B. For which of the following findings should the nurse intervene? 1. a nurse is assessing an adult client who has been immobile for the past 3 weeks. The client himself has been experiencing low mood, poor sleep, and low appetite over the past three weeks. 9 kg). for which of the following findings should the nurse intervene? a nurse is assessing an adult client who has been immobile for the past 3 weeks. Study with Quizlet and memorize flashcards containing terms like The client has been working on weight loss for 8 months and has been successful in losing 35 lbs (15. Which of the following assessment findings should the nurse identify as an indication of a hypersensitivity reaction to the phenytoin? a) enlargement of the cervical lymph nodes b) diarrhea c) ringing in the ears d) alopecia, A nurse is caring for Oct 10, 2023 · The nurse should identify that decreased range of motion requires further intervention when assessing an adult client who has been immobile for the past 3 weeks. For which of the following findings should the nurse intervene and more. Dec 11, 2023 · A sign that would indicate a nurse should intervene if a patient has been immobile for the last three weeks could be evidence of gangrenous inflammation and infection. Study with Quizlet and memorize flashcards containing terms like A nurse on a medical unit is preparing to discharge a client to home. The client is in a wheelchair with the wheels locked c. A nurse is assessing an adult client who has been immobile for the past 3 weeks. Which of the following statements by the client indicates an A nurse is assessing an adult client who has been immobile for the past 3 weeks. The client has told the nurse of the intent to stop taking the drug, stating, "I don't feel any less depressed than I did before I started taking these pills. In addition to ensuring the nurse's own safety, how Study with Quizlet and memorize flashcards containing terms like A client is severely injured, sustaining a full-thickness circumferential burn to the left leg, after passing out as a result of drinking alcohol and falling into a fire while on a camping trip. , The nurse is assessing the neurovascular status of a 5-year-old with a broken femur. Which of the following types of transmission-based precautions should the nurse initiate?, A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has been on bed rest for the past month. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requires a 24-hr urine collection. For which of the following finding should the nurse intervene? - Erythema on pressure points - lower extremity pulse strength 2+ - fluid intake of 3000 ml per day. Which factors directly affect the client's capacity to exercise? Select all that apply, A nurse is caring for a client who has been recommended an ambulatory electrocardiogram for recording the heart rate and rhythm. Study with Quizlet and memorize flashcards containing terms like Which symptom will have a great impact on the extracellular fluid for water conservation?, A client is diagnosed with frequent urinary tract infections. Which systems should the nurse monitor for complications? Select all that apply. The client has been deteriorating in health because of a lack of activity. Explanation: A nurse assessing an adult client who has been immobile for the past 3 weeks should intervene for several possible findings. The best response by the nurse would be:, The nurse is assessing a client's skin and notices a few papules. A client who was diagnosed with amyotropic lateral sclerosis (ALS) has been immobile for 2 weeks. Study with Quizlet and memorize flashcards containing terms like Dry skin is common among the elderly. rsbiu osqulifv qclly pxkkt gcfwe umpuh dpr hkgyh sshoqbo hytz