The nurse is monitoring a client's ability to conduct a ...

[jenna1]

The nurse is monitoring a client's ability to conduct a conversation while walking on a treadmill. This diagnostic test will provide which of the following for the nurse?
 
  1. The client's ability to tolerate isometric exercises
   2. The client's ability to tolerate aerobic exercise
   3. The client's ability to tolerate isokinetic exercise
   4. The client's ability to tolerate anaerobic exercise

Question 2

The nurse has established as an expected outcome that the client will demonstrate healing of a stage II pressure ulcer over the coccyx.. Which of the following indicate that the client failed to achieve this outcome?
 
  1. The rubber doughnut pressure relief device was not delivered by central supply.
   2. The client's serum albumin increased over the last month.
   3. Nurses did not document disinfection of the wound with alcohol with each dressing change.
   1. Utilization of a right sidebackleft sideback turning schedule.

[briezy]

Answer to Question 1

2. The client's ability to tolerate aerobic exercise

Rationale:
Aerobic exercise is activity during which the amount of oxygen taken into the body is greater than that used to perform the activity. Aerobic exercises use large muscle groups that move repetitively. The intensity of aerobic exercise can be measured by the talk test or having the client talk while engaging in exercise. Isometric exercises are those in which there is a muscle contraction without moving the joint. Isokinetic exercises involve muscle contraction against resistance. Anaerobic exercises are those in which oxygen cannot be used from the blood stream, such as weight lifting and sprinting.

Answer to Question 2

4. Utilization of a right sidebackleft sideback turning schedule.

Rationale:
Since this expected outcome was not met, the nurse looks for problems in the provision of care or changes in the client's condition. Of the options listed, the only one that would result in poor healing is the right sidebackleft sideback turning schedule. This schedule places the client on the back for 50 of the time. The schedule should be right sidebackleft sideright side. A rubber doughnut-style device should not be used, so the fact that it was not delivered did not indicate failure to meet the outcome. An increase in serum albumin is a good finding and would increase, not decrease, wound healing. The use of alcohol interrupts healing, so it is good that nurses did not document its use.

[jenna1]

Excellent

[milbourne11]

TYSM