A nurse teaches a client with a past history of angina who has ...

[newyorker26]

A nurse teaches a client with a past history of angina who has had a total knee replacement. Which statement should the nurse include in this client's teaching prior to beginning rehabilitation activities?
 
  a. Use analgesics before and after activity, even if you are not experiencing pain.
  b. Let me know if you start to experience shortness of breath, chest pain, or fatigue.
  c. Do not take your prescribed beta blocker until after you exercise with physical therapy.
  d. If you experience knee pain, ask the physical therapist to reschedule your therapy.

Question 2

A rehabilitation nurse prepares to move a client who has new bilateral leg amputations. Which is the best approach?
 
  a. Use the bear-hug method to transfer the client safely.
  b. Ask several members of the health care team to carry the client.
  c. Utilize the facility's mechanical lift to move the client.
  d. Consult physical therapy before performing all transfers.

[DHRUVSHAH]

Answer to Question 1

ANS: B
Participation in exercise may increase myocardial oxygen demand beyond the ability of the coronary circulation to deliver enough oxygen to meet the increased need. The nurse must determine the client's ability to tolerate different activity levels. Asking the client to notify the nurse if symptoms of shortness of breath, chest pain, or fatigue occur will assist the nurse in developing an appropriate cardiac rehabilitation plan.

Answer to Question 2

ANS: C
Use mechanical lifts to minimize staff work-related musculoskeletal injuries. The bear-hug method and the use of several members of the team to carry the client do not eliminate staff injuries. Physical therapy should be consulted but cannot be depended upon for all transfers. Nursing staff must be capable of transferring a client safely.

[newyorker26]

Thank you

[DHRUVSHAH]

No problemo