A student is ambulating a client for the first time after surgery. What would the student do to anticipate and plan for an unexpected outcome?
A) Take the client's vital signs after ambulation.
B) Ask the client's wife to assist with ambulation.
C) Delay ambulation until the following shift.
D) Ask another student to help with ambulation.
Ans: D
Unexpected outcomes do occur, such as the risk of a fall for the postoperative client who is ambulated for the first time. In anticipation, the student caregiver could ask another student to help ambulate the client, thus decreasing this risk.
You might also like to view...
The nurse completes yearly training regarding the use of restraints. Which situation would the nurse categorize as a restraint?
1. A safety belt applied across the client's waist when sitting in a geri chair with a quick release button demonstrated to the client 2. The use of the top side rail to provide something for the client to hold on to when getting out of bed 3. A safety belt around the infant when placing the child in a swing 4. The use of all four side rails on the bed after administering preoperative sedation
Some chemical reactions within the body create free radicals. These free radicals destroy cells in our body. Some vitamins act as antioxidants to prevent this destruction of cells by free radicals. Which vitamin is a major antioxidant?
A) Vitamin B6 B) Thiamin C) Folate D) Vitamin C
Which program provides supplemental foods, nutrition education, and referrals to health care?
A) Medicaid B) Women, Infants, and Children C) Temporary Assistance to Needy Families D) State Children's Health Insurance Program
A nurse is developing the initial care plan for a client who is prescribed a central nervous system stimulant for the treatment of ADHD. Which nursing diagnoses will most likely be a part of this care plan?
Standard Text: Select all that apply. 1. Family Processes, Interrupted 2. Development: Delayed, Risk for 3. Sleep Pattern, Disturbed 4. Gas Exchange, Impaired 5. Nutrition, Imbalanced: Less than Body Requirements