The nurse is assisting the client to eat. Which action by the nurse is the most appropriate?
1. Sitting on the side of the bed while feeding the client
2. Telling the client to sit back and relax while the nurse does all the work
3. Asking what the client would like to eat or drink next
4. Feeding the client quickly to decrease the feeling of being a burden
Correct Answer: 3
The nurse should consult the client regarding which food or drink that client would like to eat next. Although the nurse should sit at the bedside, it is not appropriate to sit on the bed. Each client should be encouraged to participate to the fullest extent possible to increase autonomy. The nurse should set an unhurried pace when feeding the client to reduce feelings of dependence.
You might also like to view...
A nurse observes the parent–child interaction during the 9-year-old well-child checkup and notes the child is dressed in a seductive adult manner. Which response by the nurse would be most beneficial?
1. Telling the parent, "I am going to refer you to parenting classes, since your child is dressed inappropriately." 2. Asking the child, "Are you happy with the way you are dressed?" 3. Asking the mother to leave the room so she can talk with the child alone 4. Telling the parent, "Let's talk privately. Let's discuss the way your child is dressed, and possible ways to dress more appropriately.
On the way to the biohazard disposal closet to dispose of IV tubing and a bag used on an HIV-positive client, the LPN drops the IV tubing and bag on the floor, causing a spill
The team leader's most appropriate action would be to do which of the following? 1. Quickly pick up the dropped supplies and dispose of them in the biohazard bag in the biohazard room. Ask housekeeping to place a small barricade over the spill until it can be mopped up later. 2. Find the floor maintenance person to pick up and dispose of the used equipment and mop the floor, reminding them to be sure and wash his or her hands with soap and water. Chart that the IV was infused and discontinued appropriately. 3. Call and report to designated personnel to come and cordon off the area from staff and patients; have the spill cleaned with approved infection and chemother-apy spill control procedures. 4. Chart the spill in the patient's chart, inform the RN when convenient, and have housekeeping mop up the spill.
A patient experiences a severe head injury hitting a tree while riding a motorcycle. Breathing be-comes deep and rapid but with normal pattern. What term should the nurse use for this condi-tion?
a. Gasping b. Ataxic breathing c. Apneusis d. Central neurogenic hyperventilation
A.A. weighs 143 pounds. How much phenytoin will you administer?
What will be an ideal response?