The nurse is working with a client who has left-sided weakness. After instruction, the nurse ob-serves the client ambulate in order to evaluate the use of the cane. Which action indicates that the client knows how to use the cane properly?
1. The client keeps the cane on the left side.
2. Two points of support are kept on the floor at all times.
3. There is a slight lean to the right when the client is walking.
4. After advancing the cane, the client moves the right leg forward.
ANS: 2
Two points of support, such as both feet or one foot and the cane, should be on the floor at all times. The cane should be kept on the stronger side, the client's right side. The client should keep his or her body upright and midline. Leaning can cause the client to lose his or her balance and fall. After advancing the cane, the client should move the weaker leg, the client's left leg, for-ward to the cane.
You might also like to view...
The nurse who is preparing to discharge a patient who has undergone a left knee replacement examines whether or not patient goals have been met. What stage of the nursing process is being explored?
A) Assessment B) Planning C) Intervention D) Evaluation
The nurse working with older adults encourages them to stay healthy. What instruction by the nurse takes priority?
a. Eat at least seven servings of produce a day. b. Get at least 8 hours of sleep a night. c. Get some exercise at least most days of the week. d. Stay away from people who are ill.
What is self-discipline?
A) Is one of the least effective forms of discipline B) Decreases as an awareness of the rules and regulations that govern behavior increases C) Increases when employees identify with the goals of the organization D) Is internalized, and thus the leader can do little to create an environment that promotes self-discipline in employees
A nurse has been administering a client's pain medications to herself and providing the client who is cognitively impaired with an aspirin as a substitute. Once discovered, the nurse is referred to the peer assistance program
Which of the following are goals of the program? (Select all that apply.) a. Provide her with legal advice. b. Ensure the nurse does not harm clients. c. Ensure that the facility and coworkers are aware of the problem so they can support her. d. Revoke the nurse's licensure. e. Monitor her when she returns to work. f. Ensure the nurse has medical treatment for the problem.