A client has rheumatoid arthritis (RA) and the visiting nurse is conducting a home assessment. What options can the nurse suggest for the client to maintain independence in activities of daily living (ADLs)? (Select all that apply.)
a. Grab bars to reach high items
b. Long-handled bath scrub brush
c. Soft rocker-recliner chair
d. Toothbrush with built-up handle
e. Wheelchair cushion for comfort
ANS: A, B, D
Grab bars, long-handled bath brushes, and toothbrushes with built-up handles all provide modifications for daily activities, making it easier for the client with RA to complete ADLs independently. The rocker-recliner and wheelchair cushion are comfort measures but do not help increase independence.
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While assisting the elderly client who has dry skin with personal hygiene, the nurse: Standard Text: Select all that apply
1. Uses soap to cleanse the skin. 2. Thoroughly rinses the skin. 3. Bathes the client daily. 4. Uses moisturizing cream. 5. Avoids using oily creams.
One type of dehydration in children is isotonic dehydration, which occurs then:
a. the loss of sodium exceeds water loss and serum sodium levels are low b. extracellular sodium is at the same level as intracellular sodium c. the muscle tone and skin tone remain stable while the child is dehydrated d. the loss of sodium and water are equal and the serum sodium level remains normal
The community health nurse observes an increase in the development of multidrug-resistant tuberculosis. The nurse understands that a major reason for this occurrence for individual clients would most likely be
A) political and social response to declining rates of TB over the past decade. B) a reduction in funding for surveillance and research. C) noncompliance with the therapy for the full, recommended period. D) a premature sense that TB has been defeated.
An example of a primary prevention intervention in a chemical plant would be a
1. Health fair for all employees and their families. 2. Support group for employees who want to overcome problems with alcohol. 3. Weight-reduction program for overweight individuals. 4. Yearly physical examinations for all employees.