A nurse at a health care facility has been assigned the care of ...

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A nurse at a health care facility has been assigned the care of an elderly client. For which of the following reasons would the nurse use a tilt table when preparing this client for ambulation?
 
  A) To promote the client's muscle tone and strength
  B) To improve the client's upper arm strength
  C) To normalize client's blood pressure prior to ambulating
  D) To help the client adjust to bearing weight on his or her feet

Question 2

A nurse is caring for a terminally ill client whose death is imminent. The nurse has developed a close relationship with the family. Which of the following is the most appropriate intervention?
 
  A) Encourage family discussions of feelings.
  B) Make decisions for the family in difficult situations.
  C) Remain with the family but maintain silence.
  D) Tell the family to leave the client alone.

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Answer to Question 1

D
Feedback:
The nurse would use a tilt table to help the client bear weight on his or her feet. A tilt table is a device that raises the client from a supine to a standing position. It helps clients adjust to being upright and bearing weight on their feet. Dangling helps normalize a client's blood pressure, which may drop when the client rises from a reclining position. The client should perform isometric exercises to improve muscle tone and strength; isotonic exercise would help the client to improve upper arm strength.

Answer to Question 2

A
Feedback:
The nurse should facilitate open and effective communication among those threatened by the loss of a family member. The nurse should abstain from making decisions on the family's behalf. Inappropriate silence may generate anxiety in the family members, so the nurse should not remain silent. It is inappropriate to tell the family to leave the client alone when death is imminent.

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