Podcast
Questions and Answers
Which of the following client actions indicates a need for further teaching when using a cane?
Which of the following client actions indicates a need for further teaching when using a cane?
- The client holds the cane on the right side of the body. (correct)
- The client holds the cane 6 inches laterally from the foot.
- The client moves the weaker leg toward the cane first.
- The client always keeps two support points on the floor.
What is the nurse's priority when providing care to a patient with abdominal pain and diarrhea?
What is the nurse's priority when providing care to a patient with abdominal pain and diarrhea?
- Place the client in a positive pressure room
- Place the client on contact precautions (correct)
- Place the client on droplet precautions
- Place the client on airborne precautions
Which intervention is appropriate for a client who has diarrhea?
Which intervention is appropriate for a client who has diarrhea?
- Requiring visitors to wear an isolation gown and N95 mask.
- Wearing a mask when providing care to this client.
- Placing the client in a shared room with a client who is recovering from surgery.
- Use of dedicated or disposable equipment in this client's room. (correct)
When is it appropriate for the nurse to use an alcohol-based product to disinfect hands?
When is it appropriate for the nurse to use an alcohol-based product to disinfect hands?
Which personal protective equipment (PPE) would be appropriate to wear when providing care to a client with diarrhea?
Which personal protective equipment (PPE) would be appropriate to wear when providing care to a client with diarrhea?
Which statement made by the patient indicates a need for further education regarding crutch safety?
Which statement made by the patient indicates a need for further education regarding crutch safety?
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Study Notes
Cane Use
- Holding the cane on the right side of the body is incorrect technique for a client with right-sided weakness.
- Moving the weaker leg toward the cane first is the correct approach.
- Holding the cane 6 inches laterally from the foot is the correct technique.
- Keeping two support points on the floor at all times is the correct technique.
Dehydration & Precautions
- Contact precautions are the priority when caring for a patient experiencing abdominal pain, cramping, foul-smelling, and watery diarrhea, especially when considering recent amoxicillin use for pneumonia.
Infection Control
- Using dedicated or disposable equipment in a patient's room is an appropriate intervention to help prevent the spread of infections.
- The primary use of alcohol-based hand sanitizer is before donning gloves when assessing a client's temperature.
- Alcohol-based sanitizers are not suitable for visibly soiled hands and should not replace proper handwashing with soap and water.
Personal Protective Equipment (PPE)
- A single-use disposable gown is the appropriate PPE when caring for a client with abdominal pain, cramping, foul-smelling, and watery diarrhea.
- Sterile surgical gloves are not recommended in this situation, and clean gloves are preferred.
Crutch Safety
- It's crucial to wear nonskid shoes when walking with crutches for safety.
- Always have spare crutches and tips available for potential replacements.
- Keeping arms bent when using crutches is essential to maintain balance and support.
- Avoid using someone else's crutches.
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