A nurse is teaching a client who has left hemiparesis how to use a cane. Which of the following instructions should the nurse include?
Hold the cane on the right side to provide support for the weaker leg
Remove the rubber tip when using the cane.
Advance the right leg and the cane together to support the weaker leg
Place the cane approximately 61 cm (24 in) in front of her feet before advancing
The Correct Answer is A
A: The correct instruction is to hold the cane on the right side, which is the side opposite the weaker leg. This provides better support and balance for the weaker side.
B: Removing the rubber tip from the cane is not recommended. The rubber tip provides traction and stability, reducing the risk of slipping.
C: Advancing the right leg and the cane together is incorrect. The cane should move with the weaker leg (left leg in this case) to provide support during ambulation.
D: Placing the cane 61 cm (24 in) in front of the feet is too far. The cane should be placed about 15-25 cm (6-10 in) in front of the feet to provide optimal support and balance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.0"]
Explanation
Step 1: Determine the dosage required. 20 mEq
Step 2: Determine the concentration of the suspension. 10 mEq per mL
Step 3: Calculate the volume needed. 20 mEq ÷ 10 mEq per mL = 2 mL
The nurse should administer 2.0 mL per dose.
Correct Answer is B
Explanation
A: Obtaining a chest x-ray is important for diagnosing potential complications but is not the immediate first action to improve oxygen saturation.
B: Raising the head of the bed helps improve lung expansion and oxygenation. It is a quick and effective first step to increase oxygen saturation.
C: Administering a prescribed analgesic can help with pain management but does not directly address the low oxygen saturation.
D: Administering oxygen at 2 L/min is important but should follow the initial step of raising the head of the bed to optimize breathing.
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