Author Question: The nurse determines that preoperative instruction regarding leg exercises has been effective when ... (Read 57 times)

cherise1989 · **on:** Jul 23, 2018

The nurse determines that preoperative instruction regarding leg exercises has been effective when what is assessed?

1. Lower extremity swollen and hot to touch.
2. Vein feels hard.
3. No cramping or pain with ambulation.
4. Pain in calf with dorsiflexion.

Question 2

The nurse is preparing a 6-year-old child for a tonsillectomy. Which strategy would the nurse use for teaching this client?

1. Pamphlets
2. Play
3. Books
4. Videotapes

meganmoser117 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Lower extremity swelling and heat would indicate the presence of thrombophlebitis.
Rationale 2: A hard vein would indicate the presence of thrombophlebitis, and that leg exercises were not effective.
Rationale 3: The absence of cramping or pain with ambulation indicates that leg exercises instructed prior to surgery were effective to prevent the onset of thrombophlebitis.
Rationale 4: Pain in the calf with dorsiflexion would indicate the presence of thrombophlebitis, and that leg exercises were not effective.

Answer to Question 2

Correct Answer: 2
Rationale 1: Pamphlets would be appropriate to supplement instruction to an adult or older client.
Rationale 2: Play is an effective teaching tool with children.
Rationale 3: Books would be more appropriate to supplement instruction to a school-age child.
Rationale 4: Videotapes would be appropriate for adolescent or adult clients.