A nurse is teaching a client about the correct use of a cane. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Ensure the cane has a rubber cap.

Hold the cane on the weaker side.

Flex the elbow slightly when using the cane.

Move the cane and stronger leg forward simultaneously.

Use a quad cane for increased support.

Answer and Explanation

Correct Answer : A,C,E

A. Ensure the cane has a rubber cap. A rubber cap provides stability and prevents slipping, reducing fall risk.

B. Hold the cane on the weaker side. The cane should be held on the stronger side to provide support while stepping forward with the weaker leg.

C. Flex the elbow slightly when using the cane. The elbow should be slightly flexed (15-30 degrees) when holding the cane for optimal support and comfort.

D. Move the cane and stronger leg forward simultaneously. The cane and weaker leg should move forward together to maintain balance, followed by the stronger leg stepping forward.

E. Use a quad cane for increased support. A quad cane provides a broader base of support and is recommended for clients who need extra stability.

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Correct Answer is B

Explanation

A. Decreased blood urea nitrogen (BUN): BUN typically increases with dehydration.

B. Increased hematocrit: Hemoconcentration occurs in dehydration, increasing hematocrit levels.

C. Decreased urine specific gravity: Dehydration typically causes an increase in urine specific gravity.

D. Increased calcium level: Calcium levels do not directly indicate fluid volume status.

A. The client reports taking the medication 30 min before the prescribed time. B. The client received an influenza vaccine 1 month ago. C. The client reports taking the medication with room temperature water. D. The client has a history of recurring bowel inflammation.

Correct Answer is D

Explanation

A. The client reports taking the medication 30 min before the prescribed time. Taking a medication slightly earlier is unlikely to significantly affect its therapeutic efficacy.

B. The client received an influenza vaccine 1 month ago. Vaccination does not interfere with arthritis medications unless it triggers an immune response leading to disease flare-up, which is rare.

C. The client reports taking the medication with room temperature water. The temperature of the water does not impact the drug’s effectiveness.

D. The client has a history of recurring bowel inflammation. Chronic bowel inflammation (e.g., Crohn’s disease) can affect drug absorption, reducing medication effectiveness.

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A nurse is teaching a client about the correct use of a cane. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory report of a client who has been experiencing a fever for the last 3 days. Which of the following laboratory results indicates the client is experiencing fluid volume deficit?

Correct Answer is B

Explanation

A nurse in a provider's office is assessing a client who reports a decrease in the effectiveness of their arthritis medication. Which of the following client Information should the nurse identify as a contributing factor to the decrease in the medication's effectiveness?

Correct Answer is D

Explanation

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