The nurse uses gait belts when assisting clients to ambulate. Which client would be a likely candidate for this assistive device?
A client who is confined to bedrest.
A client who has leg strength and can cooperate with the movement
A client who has a thoracic incision.
A client who has an abdominal incision.
The Correct Answer is B
Choice A rationale: A client who is confined to bedrest may not need a gait belt as they are not ambulating.
Choice B rationale: A client with leg strength who can cooperate with movement is a likely candidate for a gait belt. This device provides support and stability during ambulation.
Choice C rationale: A client with a thoracic incision may not necessarily need a gait belt for ambulation unless there are specific mobility concerns.
Choice D rationale: A client with an abdominal incision may not necessarily need a gait belt for ambulation unless there are specific mobility concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Using the axilla to bear body weight can lead to nerve damage and is not a proper crutch technique.
Choice B rationale: Keeping the elbows extended can lead to discomfort and poor crutch control. The elbows should be slightly flexed.
Choice C rationale: When getting up from a chair, extending the uninjured leg first is not the correct technique. The patient should keep the injured leg extended for stability.
Choice D rationale: Placing weight on the unaffected leg first when climbing stairs is the correct technique, allowing for better balance and stability.
Correct Answer is A
Explanation
Choice A rationale: Stool expelled into an ileostomy bag is often of liquid consistency. An ileostomy involves the diversion of the small intestine, where the stool is more liquid compared to a colostomy, which involves the large intestine and typically produces more formed stool.
Choice B rationale: Bloody stool is not a typical characteristic of stool from an ileostomy.
Choice C rationale: Mucus-filled stool is not the primary characteristic of stool from an ileostomy.
Choice D rationale: Soft semi-formed stool is not typical of an ileostomy; the stool is more liquid in consistency.
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