The student nurse is ambulating with a blind patient. Which actions indicate the need for further instruction by the nursing instructor? (Select all that apply.)
a. The student nurse holds the patient's do-minant arm.
b. The student nurse allows the patient to put both hands on his shoulders.
c. The student nurse allows the patient to hold the nurse's arm.
d. The student nurse holds the patient's hand.
e. The student nurse walks just behind the patient.
A, B, D, E
Allowing the patient who is visually impaired to hold the nurse's arm and follow is the most ef-fective and safe technique.
You might also like to view...
A patient diagnosed with breast cancer wishes to have reconstruction surgery as soon as possible. Which information should the nurse reinforce?
1. "Breast reconstruction works better if it is done as a separate surgery after you have recovered from mastectomy.". 2. "Breast reconstruction has to wait until after chemotherapy is completed.". 3. "The timing of reconstruction is your personal choice.". 4. "You should wait until we are certain your cancer does not recur.".
You may discuss confidential patient information with
A. your supervisor. B. the patient's spouse. C. the patient's family. D. your own family.
A nurse is caring for a client who is suspected of having anorexia nervosa. Which symptoms should the nurse expect the client to exhibit? Select all that apply.
A) Amenorrhea B) Constipation C) Eats quickly D) Excessive hair loss E) Decreased resting energy expenditure
A patient was admitted to the emergency department after sustaining a gunshot wound to the abdomen. Hemoglobin on admission was 11.4 g/dL and is currently 9.8 g/dL. A transfusion of two units of packed red blood cells has been ordered
A nurse newly employed in the ED says, "I didn't think we gave blood until the hemoglobin is 8 or lower.". How should the nurse manager respond? 1. "You are correct.". 2. "This patient is being given blood because of the possible damage in the abdomen.". 3. "When a patient is sustaining rapid loss of significant amounts of blood, the hemoglobin standard is not honored.". 4. "Because the patient is going to surgery, we must give blood prophylactically.".