A nurse is reinforcing teaching with a client who has left-leg weakness and is learning to use a walker. Which of the following instructions should the nurse include in the teaching?

"Maintain your arms in a slightly flexed position when using the walker."

"Move your right leg forward as you advance the walker."

"Support yourself with the walker when climbing stairs."

"Keep your eyes on your feet when ambulating with the walker."

Answer and Explanation

The Correct Answer is A

A. "Maintain your arms in a slightly flexed position when using the walker.": The walker should be adjusted so the client's elbows are flexed at approximately 20° to 30°. This allows the client to bear weight through their arms effectively.

B. "Move your right leg forward as you advance the walker.": The walker should be advanced first, followed by the affected (weak) leg, then the stronger leg.

C. "Support yourself with the walker when climbing stairs.": Walkers are generally unsafe for use on stairs; a client should use a handrail and a cane or crutches if stairs are necessary.

D. "Keep your eyes on your feet when ambulating with the walker.": Clients should look forward to maintain balance and avoid obstacles; looking down increases the risk of falls.

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Correct Answer is C

Explanation

A. "Take a 1-hour nap each day.": Napping during the day, especially for an hour, can interfere with the ability to fall asleep and stay asleep at night.

B. "Watch television in bed.": The bed should be used only for sleep and intimacy. Watching TV provides "blue light" and mental stimulation that disrupts the circadian rhythm.

C. "Drink a glass of milk before bedtime.": Milk contains L-tryptophan, an amino acid that serves as a precursor to serotonin and melatonin, which helps induce sleep.

D. "Take a long walk before bedtime.": Vigorous exercise shortly before bed increases core body temperature and heart rate, which can make falling asleep more difficult.

A. Clinical breast examination B. Fasting blood glucose C. Colonoscopy D. Testicular examination

Correct Answer is C

Explanation

A. Clinical breast examination: This usually begins in a woman's 20s or 30s as part of routine wellness exams.

B. Fasting blood glucose: Screening for Diabetes/Prediabetes is currently recommended to begin at age 35 for most adults.

C. Colonoscopy: While some guidelines have recently moved the start age to 45 for average-risk individuals, age 50 has long been the traditional benchmark for beginning colorectal cancer screenings via colonoscopy.

D. Testicular examination: This is a screening that should be performed regularly by males starting in adolescence/young adulthood.

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A nurse is reinforcing teaching with a client who has left-leg weakness and is learning to use a walker. Which of the following instructions should the nurse include in the teaching?

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