While ambulating, the client becomes light-headed and starts to fall. The nurse should first:
A. Call for help
B. Try to reach for a chair
C. Ease the client down to the floor
D. Push the client back toward the bed
C
B, C, and D. If client begins to fall, gently ease client to floor by holding firmly onto gait belt, stand with feet apart to provide broad base of support, extend leg, and let client gently slide to the floor. As client slides, nurse bends knees to lower body.
A. Ensure client's safety before getting help.
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Which of the following are the most important factors in reducing disparities in health outcomes between different cultural groups? (Select all that apply.)
a. A strong family structure b. Access to a health care provider c. Access to transportation d. Health care insurance e. Having ongoing employment f. Owning one's own home
The nurse is grading muscle strength during an assessment. The nurse should document strength of the arms as a 3 if:
1. the client could perform full range of motion (ROM) against full resistance. 2. the client could maintain ROM against gravity. 3. the nurse could feel contraction when there was no movement. 4. the client could perform full ROM against moderate resistance.
Which client is at greatest risk for development of obstructive sleep apnea?
a. Woman who is 8 months pregnant b. Middle-aged man with gastroesophageal reflux disease c. Middle-aged woman who is 50 pounds overweight d. Older man with type 2 diabetes and a his-tory of sinus infections
The nurse is collecting data for a patient who is reporting pain in the left wrist. What question should the nurse use to address the region of the pain?
a. "Is the pain mild?" b. "Where is the pain?" c. "Does the pain move?" d. "How does the pain feel?"