A nurse is providing discharge instructions to a client about proper use of a cane for maximum support. Which of the following statements by the client indicates an understanding of the teaching?
"I will hold my cane on my stronger side."
"I should hold my cane 12 inches from my side."
"I will keep my elbow flexed at a 90-degree angle while moving my cane."
"I should move my weaker leg before moving my cane."
The Correct Answer is A
A. "I will hold my cane on my stronger side." The cane should be held on the stronger (unaffected) side to provide better support and stability while allowing the weaker leg to move more freely.
B. "I should hold my cane 12 inches from my side." The cane should be positioned about 6–10 inches to the side of the foot to ensure proper balance and support.
C. "I will keep my elbow flexed at a 90-degree angle while moving my cane." The elbow should be flexed at about 15–30 degrees, not 90 degrees, to maintain comfort and proper control of the cane.
D. "I should move my weaker leg before moving my cane." The correct sequence is to move the cane first, then move the weaker leg forward, followed by the stronger leg, which provides better stability and reduces fall risk.
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Related Questions
Correct Answer is A
Explanation
A. Ask the client if they understand the procedure. The nurse’s role in informed consent is to confirm that the client understands the procedure and voluntarily agrees to it. If the client has questions or does not understand, the nurse should notify the provider for further explanation.
B. Describe the procedure to the client. It is the provider’s responsibility to explain the procedure in detail, including what it entails. The nurse should not provide this explanation.
C. Inform the client about alternative treatment options. The provider must discuss alternative treatment options, not the nurse. The nurse can ensure that this discussion has occurred but does not provide the alternatives.
D. Explain the risks of the procedure to the client. The provider is responsible for explaining the risks, benefits, and expected outcomes of the procedure. The nurse’s role is to witness the consent and ensure the client understands.
Correct Answer is D
Explanation
A. Tertiary care Tertiary care refers to specialized medical care provided in hospitals for complex conditions (e.g., ICU care, cancer treatment, neurosurgery). It is not a self-care resource for caregivers.
B. Restorative care Restorative care focuses on rehabilitation and regaining function (e.g., physical therapy, speech therapy) rather than providing relief for caregivers.
C. Telemedicine care Telemedicine involves remote medical consultations, which can benefit clients but does not specifically address caregiver self-care needs.
D. Respite care Respite care provides temporary relief for caregivers by arranging for short-term professional care of their loved ones. This helps prevent caregiver burnout and supports self-care for those providing long-term assistance.
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