A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought a standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?

Check that the client lifts the walker and then places it down in front of her.

Walk in front of the client to guide her in moving the walker.

Have the client move one leg forward with the walker.

Make sure that the upper bar of the walker is level with the client’s waist.

Answer and Explanation

The Correct Answer is A

A. Check that the client lifts the walker and then places it down in front of her.

To ensure proper use of a standard walker and the safety of the client, the nurse should check that the client lifts the walker and then places it down in front of her. This sequence of lifting and moving the walker forward provides stability and support during ambulation.

B. Walk in front of the client to guide her in moving the walker.

The nurse should walk beside or slightly behind the client to provide support and supervision. Walking in front may hinder the client's ability to maneuver the walker.

C. Have the client move one leg forward with the walker.

The proper technique is for the client to move the walker forward and then step into it with the affected leg. Moving one leg forward with the walker may compromise stability.

D. Make sure that the upper bar of the walker is level with the client’s waist.

The correct height of the walker is essential for proper use. The walker should be adjusted to the client's height, with the top bar at the level of the client's wrists when their arms are at their sides, not at the waist.

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Correct Answer is D

Explanation

Correct answer: D

A. "Use mineral oil to relieve constipation.": Mineral oil is not recommended during pregnancy because it can interfere with the absorption of fat-soluble vitamins (A, D, E, K).

B. "Drink 1 liter of water daily to decrease constipation.": While hydration is important, 1 liter of water is insufficient. Pregnant clients are advised to drink more, typically around 2-3 liters daily, to help with digestion and prevent constipation.

C. "Use an enema when constipation occurs.": Enemas are generally not recommended during pregnancy without consulting a healthcare provider, as they may stimulate uterine contractions.

D. “Eat an apple to help with constipation.”Apples are high in fiber, which helps to promote bowel regularity and prevent constipation, making them a healthy option for managing constipation during pregnancy.

A. The ropes are in the center of the wheel grooves. B. The weights rest against the foot of the bed. C. The weights are equal on each side. D. The ropes attach securely to the pin.

Correct Answer is B

Explanation

A. The ropes are in the center of the wheel grooves.

Having the ropes in the center of the wheel grooves is appropriate and ensures proper alignment within the pulley system. This is not a problem that needs correction.

B. The weights rest against the foot of the bed.

This is the correct choice for correction. Allowing the weights to rest against the foot of the bed can alter the amount of force applied to the skeletal structures and compromise the effectiveness of the traction. The weights should hang freely and move within the pulley system.

C. The weights are equal on each side.

Having equal weights on each side is generally appropriate and helps maintain proper balance in the traction system. This is not a problem that needs correction.

D. The ropes attach securely to the pin.

Secure attachment of the ropes to the pin is essential for maintaining proper traction. This is not a problem that needs correction if the attachment is secure.

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A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought a standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about management of constipation during pregnancy with a group of pregnant clients who are pregnant. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

A client returns to the surgical unit from the PACU in skeletal traction. The nurse should take action to correct which of the following problems with the traction setup?

Correct Answer is B

Explanation

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