The nurse identifies potential safety concerns for a client with a sensory disorder. Which intervention should the nurse include in this client's plan of care?
A) Teach how to adapt to the sensory deficit.
B) Identify assistive devices.
C) Provide meaningful interaction and stimulation.
D) Teach the need to take antibiotics as prescribed.
Answer: B
Sensory deficits may increase a client's risk for injury, especially falls and burns. The nurse should determine what assistive devices are needed to promote client safety. Teaching how to adapt to the sensory deficit supports the client's self-concept. Providing meaningful interaction and stimulation supports the client's level of stress and coping. Teaching the need to take antibiotics as prescribed supports the potential risk for infection.
You might also like to view...
Two days ago a patient fell while jogging and hurt his left foot. Since then his left foot has remained painful. Which of the following chart entries is documented correctly?
a. Mass the size of an egg on the left ankle. c. Occasionally takes ibuprofen for pain. b. Pain in left foot appears to be worse today. d. Left foot with 2+ nonpitting edema.
A client tells the nurse that her contractions are occurring every 2 minutes and lasting 60 seconds for the last hour. What action should the nurse take first?
a. Assess cervical dilation and effacement. b. Obtain a complete health history. c. Perform Leopold's maneuvers. d. Notify the physician.
Throughout the course of the nursing program, professionalism is exemplified by the faculty. The student nurse practices professionalism by which of the following?
1. Acquiring characteristics considered to be professional 2. Maintaining professional character and spirit 3. Learning about the influences of Florence Nightingale 4. Upholding the standards of the profession
A physician's order is necessary to prevent pressure ulcers on the heels and feet.
Answer the following statement true (T) or false (F)