A client admitted with an exacerbation of multiple sclerosis is demonstrating frustration with eating because hand and arm spasms prevent the proper use of utensils. Which of the following should the nurse do to assist this client?
1. Counsel the client to select finger foods for meals
2. Plan time to feed the client
3. Consult with occupational therapy regarding assistive devices for meals
4. Consult with physical therapy regarding hand and arm exercises
3. Consult with occupational therapy regarding assistive devices for meals
Rationale:
Since the ability to feed oneself is essential to positive self-concept and self-esteem, the nurse should consult with occupational therapy for devices that the client can use to maintain independence at meal times. The nurse should not counsel the client to select finger foods for meals, nor should the nurse feed the client. This would not support the client's self-concept and self-esteem needs. Physical therapy might be consulted for hand splints, but hand and arm exercises might not be beneficial for this client.
You might also like to view...
The nurse is assessing a client who is pale and complains of dizziness and chronic fatigue. The client's heart rate increases with exertion
The medical diagnoses include possible anemia. Based on this assessment, which conclusion can the nurse draw? 1. The client's signs and symptoms are typical of anemia. 2. Pallor indicates the client has iron-deficiency anemia. 3. Blood work will indicate the client has pernicious anemia. 4. Constant exhaustion indicates the client is probably losing blood.
Veronica is being treated with amphetamines for narcolepsy. After a month of treatment, the medication begins to have a reduced effect on Veronica's medical condition. This scenario exemplifies ________.
A. enzyme induction B. enzyme inhibition C. drug tolerance D. first-pass metabolism
The nurse is teaching a new patient about levodopa (L-dopa). What is important to instruct the patient to avoid using concurrently with L-dopa?
A) Aspirin compounds B) Multivitamin-mineral preparations C) Alcohol D) Antianginal agents
Which woman will most likely have increased anxiety and tension during her labor?
a. Gravida 1 who did not attend prepared childbirth classes b. Gravida 2 who refused any medication c. Gravida 2 who delivered a stillborn baby last year d. Gravida 3 who has two children younger than 3 years