A nurse is caring for an older adult client in a long-term care facility. Which of the following measures should the nurse take first when assisting with planning the client's care?
Determining the client's mobility
Explaining the roles of the RN, licensed practical nurse, and assistive personnel
Introducing health care team members to the client
Understanding the client's routine for his own care at home
The Correct Answer is D
A. Determining the client's mobility
Important for safety and fall prevention, but not the first priority during care planning.
B. Explaining the roles of the RN, licensed practical nurse, and assistive personnel
This is part of orientation and education but does not help in personalized care planning.
C. Introducing health care team members to the client
While courteous and important for building rapport, it’s not the first step in individualized care planning.
D. Understanding the client's routine for his own care at home
This helps in personalizing the care plan to maintain the client’s independence and preferences, especially for older adults in long-term care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. True
Skeletal traction involves the surgical placement of hardware (e.g., pins, wires) directly into bone to apply a constant pulling force for fracture alignment or immobilization
Correct Answer is D
Explanation
A. 35
35 pounds is too much for skin traction. That much weight can damage the skin and soft tissues.
B. 25
While closer, 25 pounds is above the recommended limit for skin traction. Excessive weight may lead to skin breakdown.
C. 15
Though this might be used occasionally, it’s still considered on the higher side and usually reserved for very short-term use.
D. 5
The recommended weight for skin traction is 5–7 pounds, because the skin and soft tissues cannot tolerate heavier loads.
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