A nurse is instructing a client who has left-sided hemiparesis about the use of a quad cane. Which of the following actions by the client indicates an understanding of the teaching?
The client advances their right foot to meet their left foot.
The client maintains two points of support on the floor.
The client holds the cane in their left hand.
The client moves the cane forward 50.8 cm (20 in) when ambulating.
The Correct Answer is B
B. When using a quad cane, the client should always maintain two points of support on the floor: the cane and either the affected (left) or unaffected (right) leg. This ensures stability and support while walking.
A When using a quad cane, the client should advance their weaker (left) foot and then the stronger (right) foot. This allows the cane to provide support on the weaker side.
C. This action is correct for a client with left-sided hemiparesis. The quad cane should be held on the stronger side (right hand) to provide support for the weaker side (left leg).
D. This statement is unclear in terms of the context provided. However, typically when using a quad cane, the cane is moved forward a comfortable distance with each step to provide continuous support and balance. The exact distance may vary depending on the client's stride length and comfort.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. This is crucial because good medication adherence is essential for a transplant recipient to prevent rejection and maintain overall health. Non-adherence can jeopardize the transplant's success.
A This could be a risk factor for the client's own health, but it's not directly related to the transplant process or medication adherence.
B. This highlights a psychosocial concern, important for overall well-being, but doesn't directly impact the transplant candidacy.
D. This might be relevant for the medical history, but it doesn't directly affect medication adherence or the immediate transplant candidacy (unless the asthma is severe and uncontrolled).
Correct Answer is A
Explanation
A Pain typically occurs when the stomach is empty (1-3 hours after eating), often during the night and early morning. This pattern occurs because the presence of food helps to buffer gastric acid, whereas an empty stomach allows acid to directly contact the ulcerated area, leading to pain.
B. Pain in the right lower quadrant is not typically associated with peptic ulcer disease. Pain in PUD is usually located in the epigastric region (upper abdomen), although it can radiate to the back or other areas depending on the location and severity of the ulcer.
C. Constipation is not a typical finding in peptic ulcer disease. PUD is primarily associated with gastrointestinal symptoms related to acid-peptic imbalance, such as abdominal pain, bloating, nausea, and sometimes vomiting. Bowel habits are generally not directly affected by PUD.
D. In peptic ulcer disease, pain is usually relieved by eating or taking antacids. This is because food intake neutralizes gastric acid and provides a temporary protective coating over the ulcer, reducing irritation and pain.
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