A nurse is conducting a mobility assessment on a patient.
The patient can stand up from a seated position using a cane for support.
Which of the following activity levels should the nurse assign to the patient?
Minimal assistance
Moderate assistance
No assistance
Maximum assistance
Maximum assistance
The Correct Answer is C
Choice A rationale
Minimal assistance implies that the patient needs some help but can do most of the task on their own. In this case, the patient is able to stand up from a seated position using a cane for support, which suggests that they do not need assistance.
Choice B rationale
Moderate assistance implies that the patient needs more help to perform the task. The patient in the scenario is able to perform the task independently with the help of a cane.
Choice C rationale
No assistance means that the patient can perform the task independently. This is the most fitting answer because the patient is able to stand up from a seated position using a cane for support.
Choice D rationale
Maximum assistance implies that the patient is unable to perform the task without substantial help. This does not apply to the patient in the scenario as they are able to stand up independently with the help of a cane.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale
While it’s important for the client to understand the alternatives to the procedure, it’s typically the responsibility of the physician or surgeon to explain these alternatives, not the nurse.
Choice B rationale
One of the nurse’s responsibilities in the informed consent process is to confirm that the client is competent to sign for the procedure. This means ensuring that the client understands the procedure, its risks and benefits, and is making the decision voluntarily.
Choice C rationale
Discussing the risks of the procedure with the client is typically the responsibility of the physician or surgeon, not the nurse.
Choice D rationale
While the nurse may provide some information about what will occur during the procedure, it’s typically the responsibility of the physician or surgeon to provide detailed information about the procedure.
Correct Answer is ["A","D"]
Explanation
Choice A rationale
Wrist supports for computer keyboards are considered ergonomic because they help maintain a neutral wrist position, reducing the risk of repetitive strain injuries.
Choice B rationale
IV stands at a fixed height are not considered ergonomic. Adjustable height stands would be more ergonomic as they can be tailored to the user’s height, reducing the risk of strain or injury.
Choice C rationale
Standard height toilets are not considered ergonomic. Toilets that are height-adjustable or at a comfortable height for the user would be more ergonomic, reducing the risk of falls or strain.
Choice D rationale
Shower chairs are considered ergonomic as they can reduce the risk of falls in the shower by providing a stable seat for users. They can be particularly beneficial for individuals with mobility issues.
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