A nurse is teaching an older adult client who has left-sided weakness about cane use. Which of the following instructions should the nurse include?

When walking, move your left foot forward first.

Keep your elbow straight when you hold the cane.

Move the cane forward 18 inches with each step.

Hold the cane with your left hand.

Answer and Explanation

The Correct Answer is A

A reason:

When walking, moving the left foot forward first is correct. For clients with left-sided weakness, the cane should be used to provide support for the weak side. Moving the left foot first while using the cane helps maintain balance and stability.

B reason:

Keeping the elbow straight when holding the cane is incorrect. The elbow should be slightly bent when holding the cane to allow for better control and shock absorption, reducing strain on the arm.

C reason:

Moving the cane forward 18 inches with each step is incorrect. The cane should be moved a comfortable distance forward, typically about 6 to 12 inches, to maintain stability and support without overreaching.

D reason:

Holding the cane with the left hand is incorrect. For left-sided weakness, the cane should be held in the right hand to provide support and balance on the opposite side of the weakness.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A reason: Yellow-green drainage on the surgical incision. Yellow-green drainage indicates a potential infection at the surgical site. Postoperative infections can complicate the healing process and require prompt medical intervention. This finding should be reported to the provider immediately.

B reason: Straw-colored urine from an indwelling urinary catheter. Straw-colored urine is a normal finding and does not indicate any complications related to the surgery. This choice does not require reporting to the provider as it is within the normal range of expected outcomes.

C reason: Blood pressure 112/76 mm Hg. This blood pressure reading is within the normal range and does not indicate any immediate postoperative complications. There is no need to report this finding as it does not suggest an adverse event.

D reason: Respiratory rate 18/min. A respiratory rate of 18 breaths per minute is within the normal range for adults and does not indicate any respiratory distress or other complications. This finding does not require reporting to the provider.

A. Place the wheelchair at a 90-degree angle to the bed. B. Lock the wheels of the bed and the wheelchair. C. Elevate the bed to a position of comfort for the nurse. D. Acquire the help of several people to lift the client.

Correct Answer is B

Explanation

A reason:

Placing the wheelchair at a 90-degree angle to the bed is not the most effective position for transfer. A 45-degree angle is typically recommended to facilitate a smoother and safer transfer.

B reason:

Locking the wheels of the bed and the wheelchair is correct. This prevents any movement of the bed or wheelchair during the transfer, ensuring the safety of both the client and the nurse.

C reason:

Elevating the bed to a position of comfort for the nurse may be necessary, but the priority is to ensure the bed height is appropriate for a safe transfer, not just for the nurse's comfort.

D reason:

Acquiring the help of several people to lift the client is not always necessary. Using proper transfer techniques, equipment, and positioning can enable a single nurse to safely transfer a client, depending on the client's mobility and weight.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is teaching an older adult client who has left-sided weakness about cane use. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is 48 hours postoperative following knee surgery. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A charge nurse is anticipating the admission of four clients and planning their room assignments. Which of the following clients should the nurse assign to the room closest to the nurses' station?

A nurse is providing hygiene care for a client who is immobile. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?

A nurse is admitting a client who requires droplet precautions due to influenza. Which of the following actions should the nurse take?

A nurse is assessing a client's radial pulse and determines that the pulse is irregular. Which of the following actions should the nurse take?

A nurse is calculating the total fluid intake for a client during a 4-hr period. The client consumes 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water. The nurse should record how many mL of intake on the client's record?

A nurse is providing teaching to a group of assistive personnel (AP) about hand hygiene. Which of the following statements by one of the APs indicates a need for further teaching?