When the nurse ambulates with a patient who has left-sided weakness, what actions should the nurse take? (Select all that apply.)
a. Walk on the patient's right side
b. Keep the patient away from heavy furniture
c. Hold the patient's arm securely
d. Keep the leg nearest the patient behind the patient's knee
e. Use a gait belt
ANS: D, E
Ambulating with a person who has an identified weakness requires that the nurse walk on the same side as the weakness, slightly behind the patient, with the nurse's near leg behind the patient's knee. The nurse should use a gait belt and hold the patient at the waist and the gait belt. Furniture can be used as support.
You might also like to view...
The nurse is providing community education about Parkinson's disease (PD) symptomology. Which information would the nurse include in this discussion? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. "‘Pill-rolling' motions are often seen in the hands.". 2. "Muscle stiffness is a common manifestation.". 3. "People with Parkinson's disease often complain that they move slowly.". 4. "Many people with PD are injured because they tend to fall more than others.". 5. "People with PD tend to have drooping of the eyelids.".
When performing dosage calculation for high-alert medication, you should
A. show the syringe to another nurse to verify the dosage. B. show another nurse the vial of medication to validate the dosage. C. go ahead and administer the medication as soon as you have calculated the dose. D. have another nurse verify the dosage by calculating the dosage independently.
In her SBAR communication about a patient, a nursing assistant reports that she thinks the patient is showing a change in his mental status because he forgot why he's in the hospital. This information pertains to which part of an SBAR communication?
A) S B) B C) A D) R
Which statement best describes hypopituitarism?
a. Growth is normal during the first 3 years of life. b. Weight is usually more retarded than height. c. Skeletal proportions are normal for age. d. Most of these children have subnormal intelligence.