A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought a standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?
Check that the client lifts the walker and then places it down in front of her.
Walk in front of the client to guide her in moving the walker.
Have the client move one leg forward with the walker.
Make sure that the upper bar of the walker is level with the client’s waist.
The Correct Answer is A
A. Check that the client lifts the walker and then places it down in front of her.
To ensure proper use of a standard walker and the safety of the client, the nurse should check that the client lifts the walker and then places it down in front of her. This sequence of lifting and moving the walker forward provides stability and support during ambulation.
B. Walk in front of the client to guide her in moving the walker.
The nurse should walk beside or slightly behind the client to provide support and supervision. Walking in front may hinder the client's ability to maneuver the walker.
C. Have the client move one leg forward with the walker.
The proper technique is for the client to move the walker forward and then step into it with the affected leg. Moving one leg forward with the walker may compromise stability.
D. Make sure that the upper bar of the walker is level with the client’s waist.
The correct height of the walker is essential for proper use. The walker should be adjusted to the client's height, with the top bar at the level of the client's wrists when their arms are at their sides, not at the waist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. “Use sugar-free gum if you experience a metallic taste in your mouth.”
This is the appropriate choice. Chemotherapy can cause a metallic taste in the mouth, and using sugar-free gum or candies can help alleviate this taste disturbance.
B. “Drink fluids at mealtime to prevent early satiety.”
This statement is not advisable. Drinking fluids at mealtime may lead to early satiety, making it challenging for the client to consume adequate nutrition. It is generally recommended to drink fluids between meals.
C. “Foods that are higher in fat can help nausea.”
This statement is not accurate. High-fat foods may exacerbate nausea for some individuals undergoing chemotherapy. The focus during periods of nausea is often on easily digestible, low-fat, and bland foods.
D. “Raw fruits and vegetables will be easier for your body to digest.”
This statement is not accurate. Raw fruits and vegetables may be harder to digest, and during chemotherapy, the digestive system can be sensitive. It is generally recommended to choose cooked or processed fruits and vegetables for easier digestion.
Correct Answer is D
Explanation
A. Cheese omelet
A cheese omelet may be acceptable for a Hindu diet, as it doesn't contain beef or pork. However, it's important to consider the individual's specific dietary preferences and any other restrictions they may follow.
B. Hamburger
A hamburger typically contains beef, which may not align with Hindu dietary laws. Hindus, in general, avoid beef, as the cow is considered a sacred animal in Hinduism.
C. Bologna sandwich
Similar to the hamburger, a bologna sandwich often contains pork products. Pork is generally avoided by individuals adhering strictly to Hindu dietary laws.
D. Steamed vegetables
Steamed vegetables are a safe option for a Hindu diet as they are plant-based and do not contain beef or pork. They align with the dietary preferences of many Hindus.
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