When instructing a client about postoperative exercises, a nurse ...

[RRMR]

When instructing a client about postoperative exercises, a nurse should tell the client to:
 
  A. Turn every 4 hours
  B. Complete leg exercises once daily
  C. Repeat individual leg exercises 20 times
  D. Perform active range-of-motion exercises to the unaffected extremities

Question 2

A nurse assesses a stage II pressure ulcer as:
 
  A. Superficial blistering
  B. Boggy tissue consistency
  C. Loss of skin to the underlying fascia
  D. Persistent redness or skin darkening

[paavo]

Answer to Question 1

D
D. Leg unaffected by surgery can be safely exercised unless client has preexisting phlebothrombosis (blood clot formation) or thrombophlebitis (inflammation of vein wall).
A. Instruct client to turn every 2 hours from side to back to other side, while awake.
B. Have client continue to practice exercises at least every 2 hours while awake. Client is instructed to coordinate turning and leg exercises with diaphragmatic breathing, incentive spirometry, and coughing exercises.
C. Repeat five times.

Answer to Question 2

A
A. A stage II pressure ulcer involves the epidermis and/or the dermis and presents as an abrasion, blister, or shallow crater.
B. Boggy tissue consistency indicates a stage I ulcer.
C. Loss of skin to the underlying fascia indicates a stage III ulcer.
D. Persistent redness or skin darkening indicates a stage I pressure ulcer.

[RRMR]

Gracias!

[matt95]

Excellent