A 39-year-old patient with paraplegia has been admitted to the hospital for the treatment of a sacral ulcer. The nurse is aware that the patient normally lives alone in an apartment and manages his ADLs independently
Before creating the patient's plan of care, how should the nurse best identify the level of assistance that the patient will require in the hospital?
A) Make referrals for assessment to occupational therapy and physical therapy.
B) Talk with the patient about the type and level of assistance that he desires.
C) Obtain the patient's previous medical record and note what was done during his most recent admission.
D) Apply a standardized care plan that addresses the needs of a patient with paraplegia.
Ans: B
Feedback:
Patients should be asked preferences about approaches to carrying out their ADLs, and assistive devices they require should be readily available. The other listed actions may be necessary in some cases, but the ultimate resource should be the patient himself.
You might also like to view...
The nursing instructor cites a list of skills that support critical thinking in clinical situations. The nurse should describe skills in which of the following domains? Select all that apply
A) Self-esteem B) Self-regulation C) Inference D) Autonomy E) Interpretation
The USDA's Recommended Dietary Allowance (RDA) has been replaced by the:
a. Nutrition Recommended Allowance (NRA). b. National Bionutritional Allowance (NBA). c. Dietary Reference Intake (DRI). d. Dietary Guidelines for Americans (DGA).
What dose of radiation is required to produce symptoms of radiation exposure?
A) 400 rad or higher B) 600 rad or higher C) 900 rad or higher D) 1200 rad or higher
A nurse is reviewing medications with a client recently diagnosed with COPD. The client asks how they can prevent further exacerbations of the COPD. Which should be included in the plan of care regarding COPD?(Select all that apply.)
1. Smoking cessation 2. Exercise 3. Healthy eating program 4. Take medications as prescribed 5. Use oxygen therapy as needed