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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Noodles:

Noodles by themselves are typically a carbohydrate source and are lower in fat. However, it's essential to consider how they are prepared. If they are served with a high-fat sauce or other fatty ingredients, they may contribute to a higher fat intake.

B. Vegetable soup:

Vegetable soup, particularly if it is broth-based and contains a variety of vegetables, can be a healthy and lower-fat option. It provides vitamins, minerals, and fiber without a significant amount of fat.

C. Baked fish:

Baked fish is a lean source of protein and is generally lower in fat compared to fried or heavily processed options. The key is in the preparation method; baking is a healthier option than frying. However, it's essential to avoid high-fat toppings or sauces.

D. Cheddar cheese:

Cheddar cheese is a high-fat dairy product. Individuals with a history of pancreatitis are often advised to limit their fat intake, and high-fat foods like cheddar cheese can exacerbate symptoms. It's recommended to choose lower-fat or fat-free dairy alternatives.

A. Rub the client’s feet briskly for several minutes. B. Obtain a pair of slipper socks for the client. C. Increase the client’s oral fluid intake. D. Place a moist heating pad under the client’s feet.

Correct Answer is B

Explanation

A. Rub the client’s feet briskly for several minutes.

Rubbing the feet briskly may not be appropriate for a client with vascular occlusion. Vigorous rubbing could potentially cause damage to already compromised blood vessels, and the increased friction may not be well-tolerated.

B. Obtain a pair of slipper socks for the client.

Providing slipper socks is a non-invasive and appropriate measure to help keep the client's feet warm. Slipper socks can offer comfort without the need for vigorous interventions or potential harm. They provide insulation and can be easily applied.

C. Increase the client’s oral fluid intake.

While staying well-hydrated is generally important for overall health, increasing oral fluid intake may not directly address the specific issue of cold feet associated with vascular occlusion. It is essential to address the underlying circulatory issue causing the symptom.

D. Place a moist heating pad under the client’s feet.

Applying heat, especially in the form of a moist heating pad, may not be recommended for a client with vascular occlusion. Heat can dilate blood vessels and potentially exacerbate the issue by increasing blood flow to the compromised extremity. It's important to avoid interventions that could worsen the vascular compromise.

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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?

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A nurse is caring for a client who has a history of pancreatitis. Which of the following food choices should the client avoid?

Correct Answer is D

Explanation

Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client’s comfort?

Correct Answer is B

Explanation

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