The nurse is completing a care plan for a stroke patient who is at risk for impaired physical mobility. Which interventions should the nurse include in the care plan? (Select all that apply.)
a. Assist the patient to stand.
b. Remind the patient to ambulate as much as possible.
c. Ensure that the call light is within reach.
d. Coach the patient in active range-of-motion (ROM).
e. Reinforce the use of a walker or cane.
A, C, D, E
Fall precautions important for this patient include helping the patient to stand, placing the call light within reach, coaching the patient in active ROM, and reinforcing the use of a walker or cane. Reminding the patient to ambulate as much as possible would potentially increase the risk of falls.
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As the student progresses through the course of study, the clinical experience will
1. Involve assisting with the care of one client. 2. Involve assisting with more clients with more complex illnesses and needs. 3. Involve performing skills for the first time on the client. 4. Involve reading when not busy with the patient assignment.
Which of the following would be most important to include in a teaching plan for a client who has had a vasectomy?
A) Using a reliable method of contraception for several weeks B) Applying warm compresses to the scrotum for the first 24 hours C) Taking a prescribed opioid analgesic for pain relief D) Resuming sexual activity in 24 to 48 hours
The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death?
a. Preschoolers b. Young school age c. Middle school age d. Late school age and adolescents
The nurse is caring for a Hispanic client. When communicating with the client's family about the client's illness, which family member should the nurse contact?
a. Oldest female family member b. Oldest male family member c. Oldest daughter of client d. Oldest son of client