A patient has been undergoing rehabilitation for the past 3 weeks following a hemorrhagic stroke
The nurse has observed that the patient is motivated to perform his activities of daily living independently, but rarely attempts tasks with his affected arm. How should the nurse address this observation with the patient?
A) "Even though it requires a huge effort, using your affected arm will help you build its strength."
B) "I've noticed that you're being very conscientious about protecting your affected arm, which is very important."
C) "If you don't push through the challenge of using your affected arm again it might never recover."
D) "You should be doing a lot more with your affected arm and a lot less with your strong arm."
A
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The nurse has admitted a patient to the high-risk OB unit with preterm premature rupture of the membranes. After obtaining maternal vital signs and the fetal heart rate, which action should the nurse do next?
A. Assess for coping skills in the woman and her partner. B. Attach the woman to continuous electronic fetal monitoring. C. Consult social work for diversionary activities to enhance bedrest. D. Prepare to administer antibiotics for presumed chorioamnionitis.
Factors that decrease the risk of nosocomial infections in older clients in hospitals and long-term care facilities include
A) using indwelling urinary catheters in clients who are incontinent of urine. B) using aspiration precautions for clients with dysphagia. C) prescribing antibiotics to treat viral infections. D) sharing equipment without sanitization measures among several clients.
The client who is recovering from hepatitis A infection asks the nurse whether he should take the hepatitis A vaccine to avoid contracting this disease again. What is the nurse's best re-sponse?
A. "Yes, because now you are more susceptible to this infection." B. "Yes, because hepatitis A is widespread and considered to be a sexual transmitted disease." C. "No, your liver and immune system are too impaired at this time to respond ap-propriately to a vaccination for hepatitis." D. "No, this infection has done the same thing a vaccination would and your immune system now makes antibodies against hepatitis A."
The primary mechanism responsible for the closure of fetal ducts following birth is:
1. Suctioning of the nose and mouth. 2. The first breath of the infant. 3. High carbon dioxide levels. 4. Stimulation of the infant.