The nurse cautions clients with ALS and their families to be aware that (Select all that apply)
a. activities should be spaced throughout the day.
b. clients experience incontinence, an early cause of falling.
c. cognition will usually decline late in the disease.
d. muscle weakness may cause a risk for injury.
A, D
Safety is a prime concern with ALS (and with any degenerative neurologic disorder). Muscle weakness is progressive, leading to increased risk of falls. Some interventions to prevent this in-clude spacing activities throughout the day, conserving energy, avoiding extremes of hot and cold, and using assistive devices such as canes or wheelchairs. Clients with ALS usually do not experience incontinence and cognition remains intact for the duration of the disorder.
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A nurse is assessing an infant who has a large bruise around his neck and face from a nuchal cord. What other assessment finding correlates with this condition?
A. Elevated serum bilirubin B. Irritability with gentle handing C. Large-for-gestational-age measurements D. Obvious vertebral defects
The client's nursing diagnosis is disturbed sleep pattern related to anxiety. The desired outcome is
that client will sleep for a minimum of 5 hours nightly by October 31 . On November 1 review of sleep data for the 6 days of hospitalization shows the client sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. The outcome can be evaluated as a. consistently demonstrated. b. often demonstrated. c. sometimes demonstrated. d. never demonstrated.
Use the label to calculate the correct dose. Used with permission from Ortho-McNeil Pharmaceutical, Inc Order: Haldol 2 mg IM daily Give: ____________________
Fill in the blank(s) with correct word
After a bicycle accident that caused a fractured tibia, a client has a fiberglass cast applied and is discharged to home with crutches
Select the instructions by the nurse about climbing stairs with crutches that would best prevent an additional injury. a. Place the unaffected leg on the first step, then move the crutches and injured leg up to the step together. b. Move the injured leg to the first step, then place the crutches and uninjured leg on the step together. c. Place the injured leg and the crutch on the opposite side on the first step, then move the injured leg and the other crutch up to the step. d. Place both crutches on the first step to-gether, then swing through both legs to the next step.