An elderly client is being seen at the clinic after experiencing a fall inside his home. He appears to have suffered no ill effects of the fall but his wife has asked the nurse he might benefit from the use of a cane
The nurse should be aware of what criterion for the safe use of a cane? A) The client's weakness must be bilaterally equal.
B) The client must be able to support his full body weight on his arms and upper body.
C) The client should first demonstrate that a walker does not provide sufficient support during ambulation.
D) The client's weakness must be primarily limited to one side of his body.
D
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A client who has weakness on one side of the body uses a cane. The client does not need to be able to support his or her full body weight with the upper body in order to use a cane safely and effectively. A walker provides more support than a cane.
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During the immediate postburn period, the nurse conducts a rapid but thorough assessment. Which finding indicates a potential complication?
1. Coughing 2. Presence of eschar 3. Urine output of 30 mL in the hour since the burn occurred 4. Edema in the burned area
A nurse is implementing the consultation process. Which of the following actions would the nurse take first?
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What is the purpose of the peer-review process?
a. To ensure confidence in the quality of published works b. To confirm that the work is from a primary source c. To evaluate publications included in the literature review d. To make a decision about best practice