You have a client admitted to the unit having suffered a cerebral vascular accident. You are planning the plan of care for the client. What nursing diagnosis would be included in the client's plan of care? Select all that apply.

Pain.

Incontinence.

Impaired verbal communication.

Impaired swallowing.

Self-care deficit.

Answer and Explanation

Correct Answer : B,C,D,E

"Impaired verbal communication," "Impaired swallowing," and "Self-care deficit." These are all potential nursing diagnoses for a client who has suffered a cerebral vascular accident. Pain may not be a priority nursing diagnosis in this situation.

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Correct Answer is D

Explanation

"From birth through puberty." This period is the time of most rapid bone growth and development, which is crucial for the nurse to understand when educating clients on growth and development. Choices A, B, and C are not correct because they do not correspond with periods of bone growth and development.

A. Speak before touching the client. B. Provide the client with a see-eye guide dog. C. Allow client to follow your lead. D. Provide a detailed description of the room and walkway.

Correct Answer is C

Explanation

Allow the client to follow your lead. This technique would be most beneficial for the ambulation of a visually impaired client. The nurse should allow the client to follow their lead because they are more familiar with their surroundings and can navigate better.

Option A, speaking before touching the client, is appropriate but not as effective as allowing the client to follow the nurse's lead.

Option B, providing a see-eye guide dog, may not always be feasible.

Option D, providing a detailed description of the room and walkway, may be helpful but not as effective as allowing the client to follow the nurse's lead.

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You have a client admitted to the unit having suffered a cerebral vascular accident. You are planning the plan of care for the client. What nursing diagnosis would be included in the client's plan of care? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing client education on growth and development throughout the lifespan. When stating periods of most rapid bone growth, which period is the nurse most correct to state?

Correct Answer is D

Explanation

Which technique would be most beneficial for ambulation of a client who is visually impaired?

Correct Answer is C

Explanation

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