A caregiver asks the nurse for suggestions to assist a cognitively impaired client to feed himself. The nurse should include which of the following instructions?
A) Place the food types in the same arrangement on the plate and relate the location to the face of a clock to assist the client in locating the food on the plate.
B) Offer the client a variety of favorite foods.
C) Provide diversional stimuli, such as a television show, so the client can eat without thinking about it.
D) Serve each food separately with the proper utensil and cue the client to use the utensil to eat that particular food.
D
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You are triage nurse in the emergency department (ED). A 65-year-old man comes to the ED with complaints of severe chest pain and shortness of breath. The patient is diaphoretic, pale, and weak
When the patient collapses, what should the nurse do first? A) Check for a carotid pulse. B) Open the airway and check for spontaneous respirations. C) Give two full breaths. D) Gently shake and shout, "Are you OK?"
Food must be served:
a. Promptly b. After preparing all residents for meals c. Within 1 hour of arriving on the nursing unit d. After cutting meat and opening cartons
The nurse is instructing a client on the medication risperidone (Risperdal). What should be included in this teaching?
1. Do not use alcohol while on this medication. 2. Watch for abnormal bruising, bleeding of the gums, blood in the feces, or any other abnormal bleeding. 3. Do not eat grapefruit or take grapefruit juice while on this medication. 4. Monitor for extreme thirst, hunger with weight loss, and increased urination.
The primary reason that leg exercises are ordered after surgery is to
A) prevent blood clots. B) prevent contractures. C) maintain the patient's ability to walk. D) avoid pressure ulcers.