A nurse is planning care for a client who has left-sided hemiplegia following a stroke.
Which of the following actions should the nurse include in the plan of care?
Provide the client with a short-handled reacher.
Place a plate guard on the client's meal tray.
Remind the client to use a cane on his left side while ambulating.
Position the bedside table on the client's left side.
The Correct Answer is A
The nurse should provide the client with a short-handled teacher.
This can help the client to reach and grasp objects without having to overextend or strain their unaffected arm.
Choice B is also correct.
The nurse should place a plate guard on the client’s meal tray.
This can help prevent food from spilling off the plate and make it easier for the client to eat with one hand.
Choice C is wrong because reminding the client to use a cane on his left side while ambulating could be unsafe as the client’s left side is affected by hemiplegia.
Choice D is wrong because positioning the bedside table on the client’s left side could make it difficult for the client to reach items on the table.
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Related Questions
Correct Answer is B
Explanation
- A. "You should ask your provider about your plan." This response is appropriate because it acknowledges the client's desire to explore alternative treatments while directing them to the appropriate source for medical advice. It promotes client autonomy and ensures they receive accurate information from their healthcare provider.
- B. "Tell me what you know about chemotherapy." This response is also appropriate. It encourages the client to express their understanding and concerns about chemotherapy, allowing the nurse to identify any misconceptions and provide accurate information. This also opens the door for the client to express their concerns about vitamins and minerals, and why they want to persue that treatment.
- C. "I have never heard of any holistic treatment that is effective." This response is inappropriate because it dismisses the client's preferences and demonstrates a lack of respect for their autonomy. It also displays a lack of knowledge, as some holistic treatments can be used as supportive therapies.
- D. "The best way to treat your cancer is chemotherapy." This response is inappropriate because it is directive and does not allow the client to participate in decision-making. It also does not address the client's desire to explore alternative treatments.
Correct Answer is D
Explanation
White rice is a low-potassium food that can be recommended for a client who has chronic kidney disease and must limit potassium intake.
Nonfat yogurt (choice A) contains moderate amounts of potassium and may not be the best choice for someone who needs to limit their potassium intake.
A medium baked potato with skin (choice B) is high in potassium and should be limited to a low-potassium diet.
Peanut butter (choice C) also contains moderate amounts of potassium and may not be the best choice for someone who needs to limit their potassium intake.
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