A nurse is teaching a client who has left hemiparesis how to use a cane. Which of the following instructions should the nurse include?

Hold the cane on the right side to provide support for the weaker leg

Remove the rubber tip when using the cane.

Advance the right leg and the cane together to support the weaker leg

Place the cane approximately 61 cm (24 in) in front of her feet before advancing

Answer and Explanation

The Correct Answer is A

A: The correct instruction is to hold the cane on the right side, which is the side opposite the weaker leg. This provides better support and balance for the weaker side.

B: Removing the rubber tip from the cane is not recommended. The rubber tip provides traction and stability, reducing the risk of slipping.

C: Advancing the right leg and the cane together is incorrect. The cane should move with the weaker leg (left leg in this case) to provide support during ambulation.

D: Placing the cane 61 cm (24 in) in front of the feet is too far. The cane should be placed about 15-25 cm (6-10 in) in front of the feet to provide optimal support and balance.

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Correct Answer is C

Explanation

A: Having a small snack and taking a bath before bed can promote relaxation and improve sleep quality.

B: Going to bed and getting up at the same time each day helps regulate the body’s internal clock and promotes better sleep.

C: Watching television until falling asleep can interfere with sleep quality. The light from screens can disrupt the production of melatonin, a hormone that regulates sleep.

D: Avoiding naps throughout the day can help maintain a consistent sleep schedule and improve nighttime sleep quality.

A. Respiratory rate B. Urine output C. Bowel sounds D. Pupil reaction

Correct Answer is A

Explanation

A: Respiratory rate is the priority assessment before administering morphine. Morphine can depress the respiratory system, so it is crucial to ensure the client has an adequate respiratory rate before administration.

B: Urine output is important to monitor but is not the priority before administering morphine.

C: Bowel sounds are important to assess, especially for potential side effects like constipation, but they are not the priority before administering morphine.

D: Pupil reaction can indicate opioid effects but is not the priority assessment before administering morphine.

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A nurse is teaching a client who has left hemiparesis how to use a cane. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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