Nokea
A standard walker is used when clients:
- A. have poor balance, cannot stand up, have weak arms, and have good hand strength.
- B. have poor balance, have a broken leg, or have experienced amputation.
- C. have poor balance, have cardiac problems, or cannot use crutches or a cane.
- D. have poor balance, have an autoimmune disease, or have weak arms.
Correct Answer: C
Rationale: A walker is used for clients who have balance problems, cardiac problems, or cannot use crutches or a cane. The client needs to bear partial weight and have strength in her wrists and arms. The client uses her upper body to propel the walker forward.
You may also like to solve these questions
Accurate documentation of assessment findings regarding pressure ulcers is very important because:
- A. The law requires the nurse to document lesions
- B. The hospital requires the nurse to document lesions
- C. The physician requires the nurse to document lesions
- D. The nursing assessment of ulcers is a standard of nursing practice
Correct Answer: D
Rationale: Documenting pressure ulcers is a nursing standard to promote continuity of care and prevent progression, not merely a legal or institutional requirement.
The nurse is giving report to the NA on the care of four clients. The nurse should inform the NA to avoid taking a rectal temperature for which client?
- A. Adult who underwent ileostomy surgery because of a perforated bowel
- B. Adult who has a productive cough and is receiving oxygen by nasal cannula
- C. Adult who develops thrombocytopenia after receiving chemotherapy treatments
- D. Adult who has hypothermia after being outside in a below-zero temperature
Correct Answer: C
Rationale: C: Thrombocytopenia increases bleeding risk, making rectal temperatures unsafe. A: Ileostomy doesn't affect rectal area. B: Cough and oxygen don't contraindicate rectal temperatures. D: Rectal temperatures are used for hypothermia.
A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:
- A. plantar fasciitis.
- B. hallux valgus.
- C. hammertoe.
- D. Morton's neuroma.
Correct Answer: D
Rationale: Morton's neuroma is a small mass or tumor in a digital nerve of the foot. Hallux valgus is referred to in lay terms as a bunion. Hammertoe is where one toe is cocked up over another toe. Plantar fasciitis is an inflammation of, or pain in, the arch of the foot.
Which of the following statements to the client's family would be appropriate when preparing to provide postmortem care to the client?
- A. You will not be allowed to see your family member after the post-mortem care is performed.
- B. I am not able to assist you, but we can call pastoral care if you need any comfort.
- C. Unfortunately, we are not allowed to incorporate any cultural practices in my preparations.
- D. I will be ensuring that your family member is properly identified before they are transported.
Correct Answer: D
Rationale: When providing post-mortem care, ensure the patient is properly identified and labeled before transporting. If possible, cultural practices should be incorporated, and the family should be allowed to see the client. When possible, the nurse should provide comfort to the family.
Which of the following devices may be applicable to a bedridden patient to address potential venous insufficiency? A .Shear-reducing mattress B. Sequential compression devices C. Compression stockings D.Non-skid socks
- A. B and C
- B. A and D
- C. B and D
- D. A and C
Correct Answer: A
Rationale: For a client with venous insufficiency, sequential compression devices (SCDs) and compression stockings can be applied to improve venous return from the lower extremities.