A nurse is evaluating a client's use of a cane.

a. CORRECT: the nurse should secure the restraint to an immovable part of the bed such as the bed frame. B. CORRECT: the nurse must obtain a prescription from the provider as soon as possible, typically within 1 hr. C. CORRECT: the client's advocate or relative is legally required to be notified for the use of a restraint. D. a quick‐release knot must be used to secure the restraint.Study with Quizlet and memorize flashcards containing terms like When assisting a client in learning how to use a cane, the nurse aide stands A) approximately two feet directly behind the client. B) about one foot from the client's weak side. C) about one foot from the client's strong side. D) slightly behind the client on the client's weak side., When working with a client who has urinary ...A nurse is evaluating a client's use of crutches. The nurse should identify which of the following actions by the client indicates safe usage of this equipment? a. a. The client palace a crutch on each side when assuming a sitting position b. b. The client moves the unaffected leg onto a step first when descending stairs c. c.A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? The client holds the cane on the stronger side of her body.

Study with Quizlet and memorize flashcards containing terms like The nurse is evaluating a client's understanding of teaching regarding home oxygen therapy. Which statement by the client indicates that teaching has been effective? 1. It is okay for me to burn candles near the oxygen source. 2. I should avoid wearing wool blankets or sweaters. 3. I should …Assess the client forward actual/potential difficulty from corporate additionally speech/vision/hearing problems; Assess the client's apply of assistive devices (e.g., prosthetic limbs, hearing aid) Assist client to compensate used a physical other sensory affection (e.g., assistive devices, positioning, compensatory techniques)

When a patient is learning how to use a cane, the nurse should apply a gait belt to the patient for safety. In addition, the nurse should stand on the patient’s WEAK side during ambulation. When a patient is ready to start ambulating with a cane, the patient should place the tip of the cane about 4 inches from the side of the foot.

Turning should occur every 1 to 2 hours — not every 8 hours — for clients who are in bed for prolonged periods. The nurse should apply lotion to keep the skin moist but should avoid vigorous massage, which could damage capillaries. When moving the client, the nurse should lift — rather than slide — the client to avoid shearing.A nurse is evaluating a clients use of a cane Which of the following actions. A nurse is evaluating a clients use of a cane which. GeneralSnow2990. Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more.A. Administer a pain medication to the client. B. Determine the reasons why the client is refusing to use the incentive spirometer. C. Request that a respiratory therapist discuss the technique for incentive spirometry. D. Document the client's refusal to participate in health restorative activities.Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a client about management of low back pain. Which statements made by the client indicate effective learning? Select all that apply. "I should sleep in a prone position." "I should sleep with my legs out straight." "I should keep a check on my body weight." "I should stop exercising if the pain gets severe ...

The Health in Aging Foundation (2019) offers five steps for safe cane use. Use the cane on the side opposite of the injury, pain, or weakness (unless instructed otherwise by a health care provider). Put all weight on the good leg. Move the cane with the bad leg a comfortable distance forward. Use the cane to help your bad leg support your ...

Study with Quizlet and memorize flashcards containing terms like Which age-related change can cause nocturia? a. Decreased ability to concentrate urine b. Decreased production of antidiuretic hormone c. Increased production of erythropoietin d. Increased secretion of aldosterone, Which instruction does the nurse give a client who needs a clean-catch urine specimen? a. "Save all urine for 24 ...

Prior to assisting a patient to ambulate, it is important to perform a patient risk assessment to determine how much assistance will be required. An assessment can evaluate a patient's muscle strength, activity tolerance, and ability to move, as well as the need to use assistive devices or find additional help.Get: A nurse is evaluating a client's use of a cane. Which of which ensuing actions should the nurse identify as an indication of correct use? Answer: Asking: A nurse bekommt report regarding an client whom has 0.9% sodium chloride infusing IV at 125 mL/hr. When the nurse performs the initial anA nurse is evaluating a client whose 12 year old child was killed in a motor vehicle crash involving a drunk driver 2 years ago. Manifestations of dysfunctional grieving are evident if the parent ... (AP) about the use of assistive devices while ambulating clients. Regarding the use of a cane, the nurse should instruct the APs about which of ...Assess the patient for mobility, ROM, gait, exercise status, activity tolerance, and body alignment. The nurse will encourage and perform ROM exercises with the client 2-3 times per day to increase strength. Assist client with ambulation using assistive devices as needed. Educate the patient regarding the use of assistive devices.B. The top of the cane is at the level of the greater trochanter. C. When the patient dangles their arms, the top of the cane is even with the crease of the wrist closest to the hand. D. There is a 1.5 inch gap between the top of the cane and the axillae. The answers are B and C. Option B and C are correct because these are the two methods used ...A nurse is giving the client with a left leg cast crutch walking instruction using the three-point gait. The client is allowed touch-down of the affected leg. The nurse tells the client to advance the: crutches and the left leg, then advance the right leg. A client with right sided weakness needs to learn how to use a cane.

Therapeutic interventions and nursing actions for patients with osteoarthritis may include: 1. Managing and Reliving Acute and Chronic Pain. Clients with osteoarthritis experience acute pain due to the degeneration of the protective cartilage in their joints, which results in bone-on-bone friction during movement.Hold both crutches in the hand that’s opposite your recovering leg. With one hand on a crutch handgrip and the other on your seat, push yourself up to a standing position. Make sure to use your strong leg as much as possible. Don’t put more pressure on your recovering leg than your weight-bearing limit.Study with Quizlet and memorize flashcards containing terms like Please describe the five rights of delegation including an example of each:, Describe tertiary prevention measures and provide one (1) example., When communicating with clients of various cultures the nurse must be cognizant of communication differences. Describe how American, Middle Eastern, Asian, and Native American differ in ...8. Mr. Rojas was discharged and 6 months later, he came back to the emergency room of the hospital because he suffered a mild stroke. The right side of the brain was affected. At the rehabilitative phase of your nursing care, you observe Mr. Rojas use a cane and you intervene if you see him. A. Moves the cane when the right leg is moved. B.Study with Quizlet and memorize flashcards containing terms like A nurse observes a patient rising from a chair slowly by pushing on the chair arms. Which type of tension and contraction did the nurse observe? a. Eccentric tension and isotonic contraction b. Eccentric tension and isometric contraction c. Concentric tension and isotonic contraction d. Concentric tension and isometric ...Study with Quizlet and memorize flashcards containing terms like The nurse is caring for the client who has skeletal traction applied to the left leg. The client complains of severe left leg pain. The nurse checks the client's alignment in bed and notes that proper alignment is maintained. Which is the priority nursing action? 1.Provide pin care. 2.Medicate the …

Question: A nurse is evaluating a client’s use of a cane. Which of the following actions should the nurse identify as an indication of correct use? Answer: …The client is scheduled for a chest x-ray on the next shift. A nurse is administering a liquid oral medication from a multi dose bottle to a client. The nurse calculates that the does to me administered id 4 mL. Which of the following actions should the nurse take? Label the medication after measuring the dosage.

Apr 16, 2023 · A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? the client holds the cane on the stronger side of her body A nurse receives report about a client who has 0.9% sodium chloride infusion IV at 125 mL/hr. Ati-Pain. Evaluate the client for pain by observing their behavior. A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. Which of the following actions should the nurse take? Evaluate the client for pain by observing their behavior. A client who had surgery 3 hr ago and is receiving IV hydromorphone PRN.Study with Quizlet and memorize flashcards containing terms like The nurse is caring for the client who has skeletal traction applied to the left leg. The client complains of severe left leg pain. The nurse checks the client's alignment in bed and notes that proper alignment is maintained. Which is the priority nursing action? 1.Provide pin care. 2.Medicate the client. 3.Call the primary ...A) cover the client with the bed linens. B) assess for pain. C) place the call bell within reach. D) pull the shoulder blade forward and out from under the client. pull the shoulder blade forward and out from under the client. The nurse is assessing the developmental level of children in a pediatric clinic.Looking for the best study guides, study notes and summaries about a nurse is evaluating a? On this page you'll find 15019 study documents about a nurse is evaluating a. Looking for the best study guides, study notes and summaries about a nurse is evaluating a? On this page you'll find 15019 study documents about a nurse is evaluating a.Provides comfort by reducing muscle spasms and provides fracture immobilization. The nurse is evaluating the pin sites of a client in skeletal traction. The nurse would be least concerned with which finding? Serous drainage. The nurse is caring for the client who has had skeletal traction applied to the left leg.Study with Quizlet and memorize flashcards containing terms like The UAP asks the nurse what hand rolls are used for when providing client care. What is the appropriate nursing response?, The nurse is planning care for a client with a nursing diagnosis of Activity Intolerance. What assessment finding would cause the nurse the most concern?, A client had a mild stroke with residual left-sided ...Study with Quizlet and memorize flashcards containing terms like 1.The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. The nurse should be prepared for which maternal adverse reactions? Select all that apply: 1. Hypertension 2. Jaundice 3. Dehydration 4. Fluid overload 5. Uterine tetany 6. Bradycardia, 2. A client who is 29 …The nurse uses a: Apply a knee immobilizer before getting the client up and elevate the client's surgical leg while sitting. The nurse has an order to get the client out of bed to a chair on the first postoperative day after a total knee replacement. The nurse plans to do which of the following to protect the knee joint:

Assess the client's use of assistive devices (e.g., prosthetic limbs, hearing aid) Assist client to compensate on a physical or sensory impairment (e.g., assistive devices, positioning, compensatory techniques) Manage who client anybody application assistive devices either prostheses (e.g., eating utensils, telecommunication devices, dentures)

The NCLEX-RN Test Plan is organized into four major Client Needs categories. Two of the four categories are divided into subcategories as shown below: Safe and Effective Care Environment. Management of Care - 17% to 23%. Safety and Infection Control - 9% to 15%. Health Promotion and Maintenance - 6% to 12%.

66. The nurse is working with a client who has left-sided weakness. After instruction, the nurse observes the client ambulate in order to evaluate the use of the cane. Which action indicates that the client knows how to use the cane properly? 1. The client keeps the cane on the left side. 2. Two points of support are kept on the floor at all ...Learn about the nursing process in this comprehensive instruction. Learn about and nursing process steps, view, and significant.A patient with a left-sided weakness uses a cane. Where should the nurse stand while ambulating this patient? 1 On the patient's left side 2 On the patient's right side 3 Slightly in front on the patient's left side 4 Slightly behind the patient's right side . Instant Solution:2. "Canes are held on the weak side of the client's body." 3. "The grip should be level with the client's waist." 4. "The client should first move the strong leg, then the weak one." 1. "When the client moves, the cane is moved forward first." A nurse is caring for a client who has a stage 3 pressure ulcer.Use assistive devices such as a walker, cane, or gait belt. Assistive devices increase mobility and promote safety. Encourage early ambulation. Early progressive ambulation can decrease the risk of complications. Frequently re-evaluate the appropriateness of the correct assistive device. Patient's conditions and illnesses change over time.Study with Quizlet and memorize flashcards containing terms like The nurse is evaluating a client's response to cardioversion. Which assessment would be the priority? 1.Blood pressure 2.Status of airway 3.Oxygen flow rate 4.Level of consciousness, The nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass ...A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? The client holds the cane on the stronger side of her body. This preview shows page 8 - 10 out of 38 pages. a nurse is evaluating a client's use of a cane. which of the following actionsshould the nurse identify as an indication of correct use? A. the top of the cane is parallel to the client's waist B. when walking, the client move the cane 46 cm (18 in) forward C. the client holds the cane on the ...

A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? The client holds the cane on the stronger side of her body.Study with Quizlet and memorize flashcards containing terms like A client is being discharged today from the hospital. The nurse delegates morning care to the unlicensed assistive personnel (UAP). The assessment finds that the client is able to stand and ambulate independently without weakness or dizziness. The nurse will delegate what type of care to be provided based on the assessment ...Final ati study guide FUNDAMENTAL 2020 1) A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? A) The top of the cane is parallel to the client's waist. B) When walking, the client moves the cane 46 cm (18 in) forward.What should the nurse observe when evaluating a client’s use of a cane? Observe pt is supporting body weight on both legs, using cane on stronger side, maintaining 2 points on ground at all times, moving cane forward 6-10 inches Can on strong side, move can 1 st 6-10 inches, followed by weaker side, followed by stronger side What actions should be taken when administering intermittent ...Instagram:https://instagram. tarrant county jail inmate listrecent arrests in muskegon countybpc 157 dosealtmeyer funeral homes and crematory southside chapel obituaries A nurse is evaluating teaching on a client who has a new prescription for a sequential compression device. Which of the following client statements should indicate to the nurse the client understands the teaching? ... A. Hold the cane on the right side. B. Keep two points of support on the floor. C. Please the cane 38 cm (15 in) in front of the ... feather fall dnd 5emybjc.net employee login A nurse is preparing to administer the hepatitis B vaccine to a client. Which of the following techniques should the nurse use to locate the deltoid muscle. Place one finger across the acromion process and measure 3 fingerbreadths below to the midpoint and center of the lateral aspect of the upper arm. 10 minutes later me and the bestie Use arm sling when patient is in upright position, as indicated. Rationale: During flaccid paralysis, use of sling may reduce risk of shoulder subluxation and shoulder-hand syndrome. Evaluate need for positional aids and/or splints during spastic paralysis: Rationale: Flexion contractures occur because flexor muscles are stronger than extensors.Problem: ADENINE nurse is evaluating a client's use of a cane. Which of an following actions should the nurse identify as an label of correct employ? Answer: Question: A nurse receives tell about one employer whoever has 0.9% sodium chlore infusing IV at 125 mL/hr. When the nurse performs the initial aThe nurse is teaching a client about the use of a cane. Which is the correct cane technique? 1. Place the cane on weaker side of the body to support the weaker leg. Using the cane for support, the client should step forward with strong leg, and then move the weaker leg and cane forward to the strong leg. 2.