A nurse is assisting an older adult client who sometimes loses her balance while walking. Which of the following devices should the nurse use when helping the client ambulate?

Jacket harness

Four-wheel walker

Cane

Galt belt

Answer and Explanation

The Correct Answer is D

A.   A jacket harness is typically used for clients who need more significant support, such as those who are unable to bear weight on their legs. It's not the most appropriate choice for a client who occasionally loses their balance.
B.   A four-wheel walker provides more stability than a cane, but it can be difficult for some clients to use, especially those with limited upper body strength.
C.   A cane can be helpful for clients who need some support while walking, but it may not provide enough stability for a client who frequently loses their balance.
D.   A Galt belt is a wide, padded belt that can be used to assist clients with ambulation. It provides a secure grip without restricting the client's movement and is ideal for clients who occasionally lose their balance.

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Correct Answer is B

Explanation

A. Decreasing gastric acid secretions is not the primary mechanism of action for metoclopramide. This action is more characteristic of medications like proton pump inhibitors (PPIs) or H2 receptor antagonists, which reduce stomach acid to help with conditions such as GERD or peptic ulcers.
B. Promoting gastric emptying is the correct explanation for how metoclopramide relieves nausea. Metoclopramide acts as a prokinetic agent, meaning it enhances gastrointestinal motility by increasing the movement of the stomach and intestines.
C. Slowing peristalsis is not the mechanism of action for metoclopramide. In fact, metoclopramide does the opposite by increasing peristalsis and gastrointestinal motility. Slowing peristalsis would typically exacerbate nausea and lead to delayed gastric emptying, which metoclopramide aims to counteract.
D. Relaxing gastric muscles is not how metoclopramide works. Metoclopramide’s primary action is to increase gastrointestinal motility rather than relaxing the gastric muscles. Other medications, such as antispasmodics, might be used to relax gastrointestinal muscles, but metoclopramide is not used for this purpose.

A. Lubricates the first 2.5 to 5 cm (2 in) of the catheter. B. Dons sterile gloves before cleaning the client's meatus. C. Secures the tubing to the client's upper thigh. D. Pulls gently on the catheter to check for resistance after inflating the balloon.

Correct Answer is C

Explanation

A. Lubricating the catheter helps reduce friction and discomfort during insertion.
B. Sterile gloves help prevent the introduction of microorganisms into the urinary tract.
C. Securing the tubing to the client's upper thigh can lead to discomfort and increased risk of skin irritation. The tubing should be secured to the client's lower abdomen or inner thigh to prevent tension and potential complications.
D. Gently pulling on the catheter after inflating the balloon helps ensure that the balloon is fully inflated and properly positioned in the bladder.

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A nurse is assisting an older adult client who sometimes loses her balance while walking. Which of the following devices should the nurse use when helping the client ambulate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

Correct Answer is B

Explanation

A charge nurse is observing a newly-licensed nurse insert an Indwelling urinary catheter for a male client. Which of the following actions by the newly-licensed nurse requires intervention by the charge nurse?

Correct Answer is C

Explanation

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