Author Question: The nurse, who is caring for a 73-year-old female patient who has been hospitalized with a stroke, ... (Read 36 times)

dakota nelson · **on:** Jul 22, 2018

The nurse, who is caring for a 73-year-old female patient who has been hospitalized with a stroke, instructs the patient's daughter to continue to do passive ROM exercises with her mother on her affected side to prevent contractures.

The nurse explains to the daughter that this is very important in an immobile older adult patient because contractures can form how quickly? a. Within 8 hours
b. Within 24 hours
c. Within 1 week
d. Within 1 month

Question 2

A nurse researcher desires to conduct an experimental research study. Which of the following subjects best lends itself to this process?

a. The effects of therapeutic touch on a geriatric client with Alzheimer's disease
b. Using humour as an intervention with patients in a sample group who are recovering from orthopedic surgery
c. Determining the blood pressure patterns of a patient who recently had a cerebrovascular accident (i.e., stroke)
d. Ranking three nursing diagnoses for a newly admitted patient with diabetes mellitus

milbourne11 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A

Feedback
A Disuse, atrophy, and shortening of the muscle fibres cause joint contractures. When a contracture occurs, the joint cannot obtain full ROM. Contractures sometimes leave a joint or joints in a nonfunctional position, as seen in patients who are permanently curled in a fetal position. Early prevention of contractures is key; they can begin to form after only 8 hours of immobility in the older adult patient.
B Disuse atrophy can occur in 8 hours, not 24 hours.
C Disuse atrophy can occur in 8 hours, not 1 week.
D Disuse atrophy can occur in 8 hours, not 1 month.

Answer to Question 2

B

Feedback
A Observation of the effects of therapeutic touch on a geriatric client with Alzheimer's disease lends itself to the nursing process as a nursing intervention, perhaps to assist a client in meeting a goal of preventing social isolation. To use the experimental research process, other clients would need to be involved (i.e., two groups of clients with Alzheimer's disease, with one group receiving therapeutic touch and one group not receiving therapeutic touch) in order to determine whether therapeutic touch had any effect.
B In experimental research, the investigator controls the study variable (use of humour) and randomly assigns subjects to different conditions (those who receive humour as an intervention, and those who do not).
C Determining the blood pressure patterns of a patient who recently had a cerebrovascular accident is part of the assessment phase of the nursing process. No variable is being controlled by the nurse, as would be the case in an experimental research study.
D Setting priorities in nursing diagnoses for patient care is an example of using the nursing process.