A patient is blind. You are assisting the person with ambulation. Which action is unsafe?
a. Telling the person when you are coming to a curb or steps
b. Telling the person when to step up or down
c. Having the person walk slightly behind you
d. Using phrases like "over here" or "over there"
D
You might also like to view...
A home health nurse is working with a client who has pulmonary fibrosis. The nurse at the time of discharge established which of the following teaching priorities for follow-up care?
1. The client will be able to set up and administer a nebulizer treatment by the end of the day. 2. The client will have increased activity level by the end of the week. 3. The client will be able to do ADLs (activities of daily living) without shortness of breath in 3 days. 4. The client will have a positive attitude about the diagnosis by the end of the month.
In response to a student nurse's question, the nurse correctly states:
1. "The first heart sound reflects the sound produced by relaxation of the atria." 2. "The first heart sound reflects the closing of the mitral and tricuspid valves." 3. "The first heart sound reflects the closing of the pulmonary and aortic valves." 4. "The first heart sound reflects the beginning of the atrial contraction."
The nurse is caring for a client prescribed enalapril (Vasotec). The nurse educates the client that which side effect of this medication is potentially life-threatening?
1. Hypokalemia 2. Supraventricular tachycardia 3. Ventricular fibrillation 4. Angioedema
Which action is most important for the nurse to perform for a patient during a simple partial seizure?
a. Administering the prescribed antiseizure drug b. Timing the duration of the seizure c. Inserting a padded tongue blade d. Applying oxygen by mask