Nokea
A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should move my stronger leg forward before moving my weaker leg.
- B. I will hold the cane on my stronger side.
- C. I will move the cane forward 18 inches.
- D. I should wear shoes with smooth soles to help slide my weak leg forward.
Correct Answer: B
Rationale: Holding the cane on the stronger side provides optimal support.
You may also like to solve these questions
A nurse is collecting data from a client who is immobile and has a potential deep-vein thrombosis. Which of the following findings should the nurse report to the provider?
- A. Tortuous veins
- B. Clammy skin
- C. Bradycardia
- D. Calf swelling
Correct Answer: D
Rationale: Calf swelling is a classic sign of DVT, requiring urgent reporting.
A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?
- A. Photograph
- B. Medical diagnosis
- C. Room number
- D. Age
Correct Answer: A
Rationale: A photograph is a reliable identifier per safety standards.
A nurse is setting up a sterile field in a client's room. Which of the following actions should the nurse take?
- A. Placing a sterile instrument within 1.3 cm (0.5 in) of the edge of the sterile field
- B. Opening the top flap of the sterile tray package away from their body
- C. Dropping sterile objects onto the field from a height of 5 cm (2 in)
- D. Placing the cap of a sterile solution on a clean surface with the inside facing down
Correct Answer: B
Rationale: Opening the flap away maintains sterility by keeping the nurse's body out of the field.
A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?
- A. BMI of 24
- B. Orthostatic hypotension
- C. Type 1 diabetes mellitus
- D. Family history of osteoporosis
Correct Answer: C
Rationale: Type 1 diabetes increases cardiovascular risk due to chronic hyperglycemia.
A nurse is contributing to a community center's in-service program about early detection of breast cancer. Which of the following recommendations should the nurse make for female clients who do not have a family history of breast cancer?
- A. You should receive a breast examination from your provider each year after age 30.
- B. You should start receiving mammograms as early as age 40.
- C. You should receive a breast ultrasound every 3 years after age 50.
- D. You should start performing monthly breast self-examinations at age 35.
Correct Answer: A
Rationale: Annual clinical breast exams are recommended starting at age 30 for early detection.