Because L.C. is reporting that his gait is more unsteady, there is an increased risk for falls
Which suggestion could you offer to diminish this risk?
a. Only use a wheelchair to get around.
b. Stand as upright as possible and use a walker.
c. Keep the feet close together while ambulating.
d. Consciously think about walking over imaginary lines on the floor.
d
Persons with PD can develop bradykinesia (slow movement) or akinesia (freezing or no
movement). Having these individuals imagine lines on the floor to step over can keep them moving
forward while remaining safe.
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The nurse is working with a patient with suspected acute renal failure. Which of the assessments would provide accurate information about this patient's fluid balance? Select all that apply
A) Daily measure of patient's weight at the same time, using same scale B) Monitoring of intake and output every 1 to 2 hours C) Monitoring of blood sugar levels hourly D) Taking x-rays of the kidneys weekly
A nurse is assessing a patient with acute renal failure for pitting edema. She gently presses her finger into the edematous area on the patient's foot. She measures an indention of 8 mm, which slowly returns to baseline after about 3 minutes
Which level of pitting edema does this patient exhibit? A) 4+ (severe) B) 3+ (moderate) C) 2+ (mild) D) 1+ (trace)
A client has been brought to the emergency department for signs and symptoms of Chronic Obstructive Pulmonary Disease (COPD). The client has a history of a suicide attempt 1 year ago. Which nursing intervention would take priority in this situation?
A. Assessing the client's pulse oximetry and vital signs B. Developing a plan for safety for the client C. Assessing the client for suicidal ideations D. Establishing a trusting nurse–client relationship
A nurse believes that a client may benefit from home psychiatric care. Services will be reimbursed if documentation reflects which of the following?
A) An inability to leave the home due to chronic physical, psychosocial, or medical problems B) Safety issues as a result of physical, psychosocial, or medical problems C) Lack of family support to assist in care D) Inadequate financial resources for private mental health care services