The practical nurses (PN) notes that an unlicensed assistive personnel (UAP) is ambulating a male client who had a stroke and has right-sided weakness. The UAP is walking on the client's left side. Which action should the PN take?
Tell the UAP to take the client back to his room.
Instruct the UAP to walk on the client's affected side.
Take over the ambulation and counsel the UAP later.
Provide client an assistive device, such as a cane or walker.
The Correct Answer is B
A. Tell the UAP to take the client back to his room. - This action might not address the problem and may disrupt the ongoing activity without rectifying the situation.
B. Instruct the UAP to walk on the client's affected side. - When assisting a client with rightsided weakness, the caregiver should support the affected side, providing assistance and stability.
Instructing the UAP to walk on the client's affected side is the appropriate action.
C. Take over the ambulation and counsel the UAP later. - This might disrupt the ongoing care and might not rectify the situation immediately. Addressing it promptly is crucial.
D. Provide the client an assistive device, such as a cane or walker. - While assistive devices can be beneficial, in this scenario, the immediate concern is correcting the UAP's positioning
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Checks the medical record for the correct signed consent form prior to the examination. - Verifying that the correct consent form is signed and present in the medical record before the invasive examination is crucial to ensure the procedure is performed with proper authorization.
B. Explains the examination and asks the client to sign the consent form. - While it's important to explain the examination, obtaining consent typically involves the healthcare provider or a designated professional.
C. Explains to a family member and obtains their signature on the consent form. - Consent generally needs to be obtained directly from the client or their legally authorized representative, not just a family member.
D. Asks if the client understands the exam and why the consent form must be signed. - While educating the client about the procedure and the purpose of consent is important, it doesn't cover the formal process of obtaining and verifying the consent form.
Correct Answer is B
Explanation
A. Eating green leafy vegetables high in vitamin K can interfere with the action of certain anticoagulants; however, it's not the primary instruction given post-cardioversion.
B. Using an electric razor helps prevent cuts and bleeding, which can be more significant due to anticoagulant therapy.
C. Doubling the dose after a missed dose is incorrect and potentially dangerous.
D. Taking the medication before meals might not be the primary concern regarding anticoagulant use.
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