To prevent complications caused by a common problem of Huntington's disease, the nurse should
a. institute seizure precautions.
b. pad wheelchairs and beds.
c. start an exercise regimen.
d. teach different communication signals.
B
Excessive movements and falling can cause injury in the client with Huntington's disease. Inter-ventions include padding wheelchairs and beds, providing shin guards, and using gait belts for ambulation. Communication does become difficult and alternative forms of communication are appropriate before the client becomes completely demented, but this does not take priority over safety precautions. The client does not need an exercise regimen as the client is already hyperac-tive, and seizures do not occur.
You might also like to view...
The nurse monitors for which acid-base imbalance in a client who has hypoxemia?
a. Reduced carbon dioxide production leading to alkalosis b. Reduced carbon dioxide retention leading to alkalosis c. Excess carbon dioxide production leading to acidosis d. Excess carbon dioxide retention leading to acidosis
A client comes to the Emergency Department with injuries to her upper shoulders and back area. When questioned about how the injuries occurred, the client becomes less talkative, and states that she "fell
" The client has a history of frequent ED visits, always with plausible excuses about how her injuries occurred. The nurse begins to suspect that this client is a victim of abuse. This is an example of which of the following? A) Validation B) Judgment C) Inference D) Observation of cues
A patient who had a total laryngectomy has a nursing diagnosis of hopelessness related to loss of control of personal care. Which information obtained by the nurse is the best indicator that this identified problem is resolving?
a. The patient lets the spouse provide tracheostomy care. b. The patient allows the nurse to suction the tracheostomy. c. The patient asks how to clean the tracheostomy stoma and tube. d. The patient uses a communication board to request "No Visitors."
A hospitalized child has developed a methicillin-resistant Staphylococcus aureus (MRSA) infection. The nurse plans which interventions when caring for this child? Select all that apply
a. Airborne isolation b. Administration of vancomycin (Vancocin) c. Contact isolation d. Administration of mupirocin (Bactroban) ointment to the nares e. Administration of cefotaxime (Cefotetan)