A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about the use of assistive devices during client ambulation.
Which of the following instructions should the nurse include about assisting clients who use a cane?

“The client should first move the strong leg then the weak one.”.

“When the client moves, he should move the cane forward first.”.

“The client should hold the cane on the weak side of his body.”.

“The grip should be level with the client’s waist.”. .

Answer and Explanation

The Correct Answer is B

Choice A rationale

The statement “The client should first move the strong leg then the weak one” is not the best practice when using a cane. The client should move the cane and the weak leg forward at the same time, then move the strong leg.
Choice B rationale
The statement “When the client moves, he should move the cane forward first” is the correct practice. Moving the cane first provides stability and support for the next step.
Choice C rationale
The statement “The client should hold the cane on the weak side of his body” is not the correct practice. The cane should be held on the strong side of the body to provide support for the weak side.
Choice D rationale
The statement “The grip should be level with the client’s waist” is a good practice, but it’s not the best answer for this question. The grip of the cane should be at the level of the client’s wrist when the client’s arm is hanging down. This allows the client to maintain a slight bend in their elbow when holding the cane.

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Correct Answer is C

Explanation

Step 1 is to determine how many mL to administer. The client needs 300 mg of amoxicillin and the available medication is 250 mg/5 mL. So, the calculation is (300 mg ÷ 250 mg/mL) × 5 mL.
Step 2 is to perform the calculation. The result is 6 mL.

A. Prepare to administer antibiotics. B. Instruct the client to limit fluid intake to less than 2,000 m/day. C. Initiate bedrest in semi-Fowler’s position. D. Repeat the auscultation after asking the client to breathe deeply and cough.

Correct Answer is D

Explanation

Choice A rationale
While antibiotics are used to treat bacterial infections, crackles in the lungs can be a sign of various conditions, not just bacterial infections. Therefore, administering antibiotics is not the appropriate action based solely on the finding of crackles.
Choice B rationale

Limiting fluid intake can be beneficial for clients with certain conditions such as heart failure, but it is not the appropriate action based solely on the finding of crackles.
Choice C rationale
Initiating bedrest in semi-Fowler’s position can help improve lung expansion and ease breathing in clients with certain respiratory conditions. However, it is not the appropriate action based solely on the finding of crackles.
Choice D rationale
Crackles can sometimes be cleared by deep breathing and coughing. Repeating the auscultation after asking the client to breathe deeply and cough can help the nurse determine if the crackles are transient (cleared by coughing) or persistent.

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A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about the use of assistive devices during client ambulation. Which of the following instructions should the nurse include about assisting clients who use a cane?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer amoxicillin 300 mg PO. The available medication is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about the use of assistive devices during client ambulation.
Which of the following instructions should the nurse include about assisting clients who use a cane?