The nurse is writing the care plan for a cerebrovascular accident (CVA) patient who has partial left-sided paralysis and is experiencing ataxia. Which intervention will be beneficial for this pa-tient?
a. Encourage the patient to ambulate as much as possible when she feels the energy to do so.
b. Ensure the patient receives pureed foods and thickened liquids.
c. Place the patient's call light on the right side of the patient and remind her to call for assistance before getting up.
d. Encourage the patient to use a communi-cation board.
C
The patient with ataxia has experienced a loss of balance or poor coordination; therefore, placing the call light on this patient's right side and reminding her to call for help will best address her high risk for falling. Pureed foods and thickened liquids are necessary for the patient with dys-phagia, and a communication board would assist a patient with dysarthria or aphasia.
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When teaching a patient about the proper application of timolol (Timoptic) eyedrops, the nurse will include which instruction?
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What number would this patient receive on the Glasgow Coma Scale? A) 20 B) 15 C) 10 D) 5
A client grew up in an isolated subculture that had a rigid understanding of religious belief and expression. The accumulation of this person's learning and experience that results in core beliefs is known as what?
A) Schema B) Culture C) Endowment D) Worldview