Jamie, who has ALS, has been discharged home with his parents. They have been overwhelmed with his bout of pneumonia and are hesitant to take over his care again after relying on the medical staff so heavily
a. What would you include in your family teaching education for him and his family?
Students' answers should include the following:
a. Importance of skin care; how to inspect and clean the skin
• How to prevent pressure ulcers, including turning every 2 hours or at least changing position
• What to look for in pressure ulcer prevention
• Nutrition and fluids and why they are important
• Urinary tract infections and good fluid intake
• Proper chewing and swallowing and the foods to meet his ability
• Body alignment and the importance of this
• Range-of-motion exercises; passive and active
• Use of pillows and rolled towels; blankets for back, hips, and legs
• Social contacts and activities
• Coughing and deep breathing to prevent buildup of secretions
• Bowel and bladder training
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What should the nurse keep in mind when determining the relationship between pain and sleep in an older patient?
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The nurse is performing an admission of a 10-year-old boy. Which of the following actions will help the nurse establish a trusting and caring relationship with the child and his family? Select all answers that apply
A) The nurse should not minimize the child's fears by smiling. B) The nurse should initiate introductions. C) The nurse should not use formal titles at the introduction. D) The nurse should maintain eye contact at the appropriate level. E) The nurse should start communication with the child first and then move on to the family. F) The nurse should use age-appropriate communication with the child.
What should the nurse include in the assessment of muscle strength and movement?
1. Grade the posterior tibial pulses. 2. Grade flaccidity. 3. Observe to see whether strength and movement are bilaterally equal and strong. 4. Percuss the muscle for dullness.