A nurse is conducting a mobility assessment on a patient.

The patient can stand up from a seated position using a cane for support.

Which of the following activity levels should the nurse assign to the patient?

Minimal assistance

Moderate assistance

No assistance

Maximum assistance

Answer and Explanation

The Correct Answer is C

Choice A rationale
Minimal assistance implies that the patient needs some help but can do most of the task on their own. In this case, the patient is able to stand up from a seated position using a cane for support, which suggests that they do not need assistance.
Choice B rationale
Moderate assistance implies that the patient needs more help to perform the task. The patient in the scenario is able to perform the task independently with the help of a cane.
Choice C rationale
No assistance means that the patient can perform the task independently. This is the most fitting answer because the patient is able to stand up from a seated position using a cane for support.
Choice D rationale
Maximum assistance implies that the patient is unable to perform the task without substantial help. This does not apply to the patient in the scenario as they are able to stand up independently with the help of a cane.

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Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A rationale
High glucose levels can indicate uncontrolled diabetes, which can increase the risk of surgical complications such as infection and poor wound healing.
Choice B rationale
Metformin is a medication used to treat type 2 diabetes. It can increase the risk of lactic acidosis, especially in patients undergoing procedures that involve the use of contrast dye.
Choice C rationale
A history of smoking can increase the risk of surgical complications, including poor wound healing, infection, and lung problems.
Choice D rationale
An elevated white blood cell (WBC) count can indicate an infection or inflammation in the body, which can increase the risk of surgical complications.
Choice E rationale
Type 2 diabetes mellitus can increase the risk of surgical complications, including infection, poor wound healing, and cardiovascular complications.

A. I should try to eat my food either very warm or very cold. B. I will have to start chewing on my unaffected side. C. I should rinse my mouth if tooth brushing is too painful. D. I will wash my face with cotton pads. E. I will wash my face with cotton pads.

Correct Answer is A

Explanation

Choice A rationale
Eating food that is either very warm or very cold can trigger pain in individuals with trigeminal neuralgia. Therefore, if a client made this statement, it would indicate the need for further teaching.
Choice B rationale
Chewing on the unaffected side can help minimize episodes of pain in trigeminal neuralgia.
Choice C rationale
Rinsing the mouth if tooth brushing is too painful is a good strategy for managing trigeminal neuralgia.
Choice D rationale
Washing the face with cotton pads can help minimize episodes of pain in trigeminal neuralgia.

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A nurse is conducting a mobility assessment on a patient. The patient can stand up from a seated position using a cane for support. Which of the following activity levels should the nurse assign to the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who is scheduled for a surgical procedure. The nurse is reviewing the patient’s electronic medical record. Which of the following findings places the patient at risk for a surgical complication? Select all that apply.

Correct Answer is ["A","B","C","D","E"]

Explanation

A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement, if made by the client, would indicate the need for further teaching?

Correct Answer is A

Explanation

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A nurse is conducting a mobility assessment on a patient.

The patient can stand up from a seated position using a cane for support.

Which of the following activity levels should the nurse assign to the patient?