Free NCLEX-RN Exam Braindumps (page: 241)

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A 10-year-old client with a pin in the right femur is immobilized in traction. He is exhibiting behavioral changes including restlessness, difficulty with problem solving, inability to concentrate on activities, and monotony. Which of the following nursing implementations would be most effective in helping him cope with immobility?

  1. Providing him with books, challenging puzzles, and games as diversionary activities
  2. Allowing him to do as much for himself as he is able, including learning to do pin-site care under supervision
  3. Having a volunteer come in to sit with the client and to read him stories
  4. Stimulating rest and relaxation by gentle rubbing with lotion and changing the client's position frequently

Answer(s): B

Explanation:

(A) These activities could be frustrating for the client if he is having difficulty with problem solving and concentration. (B) Selfcare is usually well received by the child, and it is one of the most useful interventions to help the child cope with immobility. (C) This may be helpful to the client if he has no visitors, but it does little to help him develop coping skills. (D) This will helpto prevent skin irritation or breakdown related to immobility but will not help to prevent behavioral changes related to immobility.



A 10-year-old client with a pin in the right femur is immobilized in traction. He is exhibiting behavioral changes including restlessness, difficulty with problem solving, inability to concentrate on activities, and monotony. Which of the following nursing implementations would be most effective in helping him cope with immobility?

  1. Providing him with books, challenging puzzles, and games as diversionary activities
  2. Allowing him to do as much for himself as he is able, including learning to do pin-site care under supervision
  3. Having a volunteer come in to sit with the client and to read him stories
  4. Stimulating rest and relaxation by gentle rubbing with lotion and changing the client's position frequently

Answer(s): B

Explanation:

(A) These activities could be frustrating for the client if he is having difficulty with problem solving and concentration. (B) Selfcare is usually well received by the child, and it is one of the most useful interventions to help the child cope with immobility. (C) This may be helpful to the client if he has no visitors, but it does little to help him develop coping skills. (D) This will helpto prevent skin irritation or breakdown related to immobility but will not help to prevent behavioral changes related to immobility.



A 50-year-old depressed client has recently lost his job. He has been reluctant to leave his hospital room.
Nursing care would include:

  1. Forcing the client to attend all unit activities
  2. Encouraging the client to discuss why he is so sad
  3. Monitoring elimination patterns
  4. Providing sensory stimulation

Answer(s): C

Explanation:

(A) The client should be encouraged to attend the unit activities. The nurse and client should choose a few activities for the client to attend that will be positive experiences for him. (B) The nurse should encourage the client to discuss his feelings and to begin to deal with the depression. (C) Depressed persons often have little appetite and poor fluid intake. Constipation is common. (D) A calm, consistent level of stimuli is most effective. Sensory deprivation and overstimulation should be avoided.



A 50-year-old depressed client has recently lost his job. He has been reluctant to leave his hospital room.
Nursing care would include:

  1. Forcing the client to attend all unit activities
  2. Encouraging the client to discuss why he is so sad
  3. Monitoring elimination patterns
  4. Providing sensory stimulation

Answer(s): C

Explanation:

(A) The client should be encouraged to attend the unit activities. The nurse and client should choose a few activities for the client to attend that will be positive experiences for him. (B) The nurse should encourage the client to discuss his feelings and to begin to deal with the depression. (C) Depressed persons often have little appetite and poor fluid intake. Constipation is common. (D) A calm, consistent level of stimuli is most effective. Sensory deprivation and overstimulation should be avoided.



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