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. Encouraging the client to use the spirometer before analgesia is important as it helps prevent respiratory complications post-surgery. It's crucial for optimal recovery.
B. Rescheduling the spirometer instruction may delay a critical intervention for the client's postoperative care.
C. Providing a PRN analgesic before spirometer use might hinder the client from benefiting fully from the respiratory therapy.
D. Reassuring the client that the incentive spirometer is not painful doesn't address the client's request for analgesia before using it.
Correct Answer is C
Explanation
A. When all wounds are closed, complete recovery has been achieved. - Closure of wounds is an important part of recovery but might not encompass the entirety of rehabilitation goals.
B. Full recovery means performing all activities of daily living independently. - While important, full recovery might not necessarily imply independence in all activities.
C. Recovery attainment is when one's highest level of functioning is achieved. - This statement best reflects the goal of rehabilitation after a burn injury, aiming for the client to achieve the highest level of functional ability possible.
D. Continuous rehabilitation will be required for the rest of a lifetime. - While some individuals might need ongoing support, it's not the primary focus of the rehabilitation goal.
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