A nurse is preparing a rehabilitation plan for a client with hemiplegia, which includes a record for the activities of daily living (ADLs)
Which of the following activities of the client can be classified as an instrumental activity of daily living? A) Ability to self-feed
B) Ability to administer medications
C) Ability to eliminate waste
D) Ability to bathe and dress
B
Feedback:
The ability of the client to administer medications can be classified as an instrumental activity of daily living. The nurse should assist the client in achieving both instrumental and functional activities of daily living. Activities, such as ability to self-feed, eliminate waste, bathe, and dress, can be classified as functional activities of daily living.
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One of the major goals of therapy for adolescents with chemical dependency is:
a. Replacing the use of the chemical with effective coping skills b. Placing the chemically dependent adolescent in a residential treatment program c. Finding a group home setting to which the adolescent will be able to adjust d. Isolating the adolescent from family and friends during withdrawal from the chemical
An emergency department patient is diagnosed with a hip dislocation. The patient's family is relieved that the patient has not suffered a hip fracture, but the nurse explains that this is still considered to be a medical emergency
What is the rationale for the nurse's statement? A) The longer the joint is displaced, the more difficult it is to get it back in place. B) The patient's pain will increase until the joint is realigned. C) Dislocation can become permanent if the process of bone remodeling begins. D) Avascular necrosis may develop at the site of the dislocation if it is not promptly resolved.
A client is recently prescribed risperidone (Risperdal) by the healthcare provider. Which would be a priority nursing consideration for this client?
A) Assess blood pressure and heart rate. B) Monitor for increased agitation. C) Assess for drowsiness. D) Monitor for neuroleptic syndrome.
The nursing instructor is discussing the concept of steady state with her first-semester nursing students. What would be the most complete statement to the students about this concept?
A) "The concept of steady state preserves life." B) "The mechanisms of steady state work to restore balance in the body." C) "This concept compensates for biologic and environmental attacks on the body." D) "Steady state is the same as adaptation."