A nurse is assisting in the care of a 72-year-old female client who recently had a stroke and is being monitored for complications.

Exhibits

Complete the following sentence by using the lists of options. The client is at risk for developing

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due to

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.

Choice A rationale

Administering a sedative medication to the client without their consent is unethical and can constitute medical malpractice.

Choice B rationale

Explaining to the client that they cannot leave until the surgeon discharges them is not effective if the client insists on leaving against medical advice.

Choice C rationale

Having the client sign an against medical advice form is the appropriate action to document that the client understands the risks of leaving and is choosing to do so against the medical team's recommendations.

Choice D rationale

Telling the client that the surgeon will prescribe restraints if they try to leave is coercive and not an appropriate method to manage a client's desire to leave the hospital.

Choice A rationale

Standing with the crutch tips against the feet is incorrect. Proper crutch placement involves positioning the crutches slightly forward and to the side of the feet to provide stability and prevent tripping.

Choice B rationale

Bearing weight on the unaffected leg is the correct instruction for using the three-point gait. This technique allows the client to move the crutches and the affected leg together while bearing weight on the unaffected leg, promoting balance and mobility.

Choice C rationale

Keeping the crutches at the level of the axillae is incorrect. Crutches should be positioned with a 1-2 inch gap below the axillae to prevent nerve damage and ensure proper support.

Choice D rationale

Holding the arms straight when walking is incorrect. The elbows should be slightly bent to allow for comfortable movement and better control of the crutches.