An obstetrical nurse is preparing to help a client up from her bed and to the bathroom three hours after the woman delivered her baby. Which of the following actions should the nurse perform first?
A) Explain to the client how the nurse will assist her.
B) Position a walker in front of the client to provide stability.
C) Enlist the assistance of another nurse or the physiotherapist.
D) Have the client stand for 30 seconds prior to walking.
Ans: A
Any effort to assist a client with mobilization should be preceded by thoroughly explaining the procedure; this optimizes the client's participation and lessens the potential for falls and injuries. The client is unlikely to require a walker or the assistance of multiple care providers, but even if she did, an explanation should still be provided first. It is not necessary to have the client stand for an extended period before ambulating.
You might also like to view...
Presence of the grasp reflex in an adult indicates what type of damage?
a. Brainstem c. CN III b. Spinal cord d. Cortical
A nurse is very upset at a patient's death. Her supervisor tells her to get over it and get on with her job. What is the nurse experiencing?
1. Delayed grief 2. Ambiguous loss 3. Complicated grief 4. Disenfranchised grief
The nurse, reviewing the similarities and differences between the nursing process and the teaching-learning process, realizes that:
a. there is little similarity between the two. b. the teaching-learning process is less complex than the nursing process. c. the two are very similar. d. they exist independently of each other.
Mrs. Robinson, a 49-year-old patient, presents to the office complaining of missing her menstrual period. She asks about menopause. You explain to her that the conventional definition of menopause is:
a. the first day of the last menstrual period. b. 1 year with no menses. c. the last day of the last menstrual period. d. the cessation of ovulation.