The nurse is delegating ambulation for a client to an experienced Patient Care Technician (PCT).Which teaching will the nurse provide to the PCT? (Select all that apply.)
“Please let me know how the client does after each ambulation."
"Ambulate the client every four hours."
“Come and get me for lunch.”
“Be certain to use a gait belt when performing this activity."
“Each ambulation should last 10 minutes"
Correct Answer : A,D,E
The teaching that the nurse will provide to the Patient Care Technician (PCT) when delegating ambulation for a client includes:
● "Please let me know how the client does after each ambulation": This instruction ensures that the PCT communicates any relevant information or changes observed during or after the ambulation, allowing the nurse to stay informed about the client's condition.
● "Be certain to use a gait belt when performing this activity": Using a gait belt is an important safety measure during ambulation. It helps provide support and stability for the client and allows the PCT to maintain control and assist in case the client becomes unsteady or falls.
● "Each ambulation should last 10 minutes": Providing a specific time frame for the ambulation helps guide the PCT in determining the duration of the activity. This ensures consistency in the care provided and allows for proper scheduling of ambulation throughout the day.
The other options provided ("Ambulate the client every four hours," "Come and get me for lunch") do not pertain to specific instructions or teaching related to the delegated ambulation task. The frequency of ambulation and the PCT's lunch break are not relevant to the teaching for this specific task.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Cephalosporins are similar to another group of beta-lactam antibiotics called the Penicillins. Both cephalosporins and penicillins belong to the beta-lactam class of antibiotics, which share a similar structure and mechanism of action. They inhibit bacterial cell wall synthesis by binding to specific proteins called penicillin-binding proteins (PBPs), leading to bacterial cell death. This shared mechanism of action makes cephalosporins and penicillins similar in their antibacterial effects.
On the other hand, macrolides, fluoroquinolones, and aminoglycosides are different classes of antibiotics with distinct structures and mechanisms of action. They work through different mechanisms to inhibit bacterial growth and have different spectrums of activity compared to beta-lactam antibiotics like cephalosporins and penicillins.
Correct Answer is D
Explanation
Patient-centered care involves actively involving the patient in their care and considering their preferences, values, and goals. By discussing dietary preferences with the client, the nurse is demonstrating a patient-centered approach. This documentation indicates that the nurse took the time to engage in a conversation with the client to understand their dietary preferences,
which can help tailor the care plan to meet the client's individual needs and preferences. "Steady gait observed when ambulating" focuses on the nurse's observation and assessment but does not specifically involve the patient's preferences or goals.
"Social worker paged for consultation" indicates collaboration with another healthcare professional but does not necessarily reflect the patient's active involvement or preferences. "Nursing literature reviewed for best practice approaches" highlights evidence-based practice but does not directly involve the patient's preferences or engagement in decision-making.
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