A nurse is teaching a client about the correct use of a cane. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Ensure the cane has a rubber cap.

Hold the cane on the weaker side.

Flex the elbow slightly when using the cane.

Move the cane and stronger leg forward simultaneously.

Use a quad cane for increased support.

Answer and Explanation

Correct Answer : A,C,E

A. Ensure the cane has a rubber cap. A rubber cap provides stability and prevents slipping, reducing fall risk.

B. Hold the cane on the weaker side. The cane should be held on the stronger side to provide support while stepping forward with the weaker leg.

C. Flex the elbow slightly when using the cane. The elbow should be slightly flexed (15-30 degrees) when holding the cane for optimal support and comfort.

D. Move the cane and stronger leg forward simultaneously. The cane and weaker leg should move forward together to maintain balance, followed by the stronger leg stepping forward.

E. Use a quad cane for increased support. A quad cane provides a broader base of support and is recommended for clients who need extra stability.

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Correct Answer is B

Explanation

A. "Hold your breath for 6 seconds after inhaling the medication." – The correct recommendation is to hold the breath for at least 10 seconds to allow maximum medication absorption in the lungs.

B. "Inhale the medication deeply for 5 seconds." – A slow, deep inhalation (3-5 seconds) allows the medication to reach the lower airways effectively.

C. "Do not shake the medication in the inhaler." – Most metered-dose inhalers (MDIs) need to be shaken before use to ensure proper mixing of medication. Exceptions include dry powder inhalers (DPIs), which should not be shaken.

D. "Hold the inhaler 3 inches away from your mouth." – The correct distance is 1 to 2 inches (2-4 cm) from the mouth, or the mouthpiece can be placed directly into the mouth with lips sealed around it.

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E"}

Explanation

The nurse is planning care for the client. The nurse should place the client in a High Fowler's or Semi Fowler's position.

High Fowler's Position: Elevating the head of the bed to a high Fowler's position (60-90 degrees) can help improve breathing and oxygenation by allowing the lungs to expand more easily.
Semi Fowler's Position: A semi Fowler's position (30-45 degrees) is also beneficial for respiratory distress, providing some elevation to aid in breathing while being more comfortable than lying flat.

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A nurse is teaching a client about the correct use of a cane. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has asthma about the use of a metered-dose inhaler. Which of the following instructions should the nurse Include In the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client on a medical-surgical unit. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The nurse is planning care for the client. The nurse should place the client in a dropdown or dropdown.

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E"}

Explanation

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