The nurse delegates bathing the client with hemiparesis to the unlicensed assistive personnel (UAP) and provides specific direction to:
1. Avoid moving the extremities on the affected side.
2. Encourage the client to bathe the affected side.
3. Teach the client how to provide self-care after discharge.
4. Avoid bathing the unaffected side.
2
Rationale: The client following CVA will recover and rehabilitate fastest if she provides as much self-care as possible. The UAP will need to bathe the unaffected side, but the client should be encouraged to bathe the affected side herself with their good arm. After discharge, the client usually will be transferred to a rehabilitation center.
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A) Required by the admission protocol for the hospital and the unit B) Allows the patient to express his or her choices for some treatment decisions C) Prevents estranged family from interfering with competent patient decisions D) Allows the physician to apply his or her best judgment for care decisions
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An adolescent is being placed on a beta-blocker. What should the nurse inform the adolescent with regard to this medication? (Select all that apply.)
a. Medication may cause fatigue. b. Side effects may include impotence. c. Side effects may include bradycardia. d. Take the medication 1 hour before meals. e. Side effects may include peripheral edema.