The nurse teaches a client who is alert and oriented to use a cane for left leg weakness. Which does the nurse include in client teaching?
1. Use a firm grip to grasp the cane with the right hand.
2. Place the cane about 12 inches in front of the right leg.
3. Distribute weight evenly between the cane and the left leg.
4. Move right leg forward first, the cane next, and left leg last.
1
1. The nurse instructs the client to hold the cane on the unaffected, or right, side to broaden the client's base of support because using the unaffected side offers more support.
2. The nurse instructs the client to place the cane 6 to 10 inches in front of the unaf-fected leg.
3. The nurse instructs the client to distribute the body weight between both legs.
4. The nurse instructs the client to move the affected leg first even with the cane and then to move the unaffected leg forward past the cane. This method provides support for the affected leg with the cane and the unaffected leg and realigns the client's cen-ter of gravity.
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The client is maintained on mechanical ventilation, but is found to have irreversible destruction of the cerebral cortex. When documenting this client's condition, which term will the nurse use?
1. Heart-lung death 2. Higher brain death 3. A persistent vegetative state 4. Death
When planning nursing care for a patient with a stroke, the nurse should consider which primary goal of medical management?
1. Restoration of cerebral blood flow and limiting the size of the infarcted area of the brain 2. Keeping the blood pressure under control pharmacologically 3. Transferring the patient for rehabilitation as soon as medically stable 4. Reestablishing blood flow to the infarcted area surgically
The nurse is about to administer a prescribed medication IV push into a patient's Hickman catheter. When providing this medication, the nurse will first
a. administer the prescribed drug. b. flush with saline. c. flush with heparin. d. prepare a pump.