A student nurse is instructing a patient restricted to partial weight-bearing on the safe use of crutches. A nurse intervenes when she hears the student say:
1. "If the knee is flexed and the foot is held behind the crutches, it can affect your balance, causing you to fall backward."
2. "Since you are able to bear partial weight on the affected limb, you should use a two-point gait."
3. "Bearing weight on the axilla can cause compression of nerves and can lead to nerve damage affecting the arm and hand."
4. "When walking upstairs on crutches, you should place the affected leg on the step, then move up the crutches and the unaffected leg."
ANS: 4
You might also like to view...
The nurse manager has one or two staff nurses who frequently inform the manager of things that were done incorrectly on the unit even when it is a minor infraction. What does this indicate?
1. The nurse manager is trusted by these two staff nurses. 2. The nurse manager is not observing unit care closely enough. 3. There is distrust in the group due to lack of confidentiality. 4. The two nurses are disliked by the rest of the group.
How is this fetus presenting?
A 26-year-old white female comes to your clinic at 38 weeks, complaining of intermittent contractions. They last for 30 seconds and are coming every 10 minutes. Her prenatal course has so far been uneventful. You send her to labor and delivery for a labor assessment. On vaginal examination she has effaced 4 cm, but you cannot feel a presenting part. You admit her for active labor; however, you wish to assess if she is vertex (baby's head is down), so you do the Leopold's maneuver. Palpating the upper pole with your hands, you feel a firm round mass. Placing your hand along the right side of her abdomen, you feel a smooth firmness. Palpating your other hand along the left side of her abdomen, you feel irregular bumps. Above the pelvic brim you feel a firm irregular mass. While awaiting ultrasound to confirm your diagnosis, you write the pertinent orders. A) Vertex B) Breech C) Transverse
During morning report, the nursing student receives a description of the assigned patient's current problems. When the student determines the priority nursing intervention, she is processing information at the cognitive level known as
a. knowledge. b. comprehension. c. application. d. analysis.
The great person approach stresses that leaders' traits are learned
a. True b. False