A team of nurse case managers is implementing a community-based palliative care program. They are meeting today to discuss their progress.

Exhibits

Select the 2 nurses who are performing actions in the evaluation phase of the nursing process.

A. The client has gained 4.5 kg (10 lb) over 8 weeks: Weight gain may indicate changes in diet, activity, or medication, but it does not directly suggest a need for physical therapy. A nutritionist or primary care provider might be more appropriate for follow-up.

B. The caregiver reports that recently the client is incontinent of urine during the day:
Urinary incontinence in clients with Alzheimer's is typically addressed by primary care or urology. It may be related to cognitive decline rather than physical impairment, so physical therapy is not the priority referral.

C. The client is unable to climb the stairs to their bedroom: This mobility limitation increases the risk for falls and functional decline. A physical therapist can assess strength, balance, and coordination, and develop a mobility plan or recommend assistive devices or home modifications.

D. The caregiver reports the client needs assistance with activities of daily living such as bathing: This indicates a need for occupational therapy to enhance independence in daily tasks. While physical therapy may support mobility, ADL support is better addressed by an occupational therapist.

A. Use a dandruff shampoo followed by drying the child's hair on high heat: Dandruff shampoos are not formulated to kill lice or nits, and while high heat may kill some lice, it is not a reliable or complete treatment. This approach may not effectively eliminate an active infestation.

B. Manually remove the lice eggs with a special comb: Manual removal using a fine-toothed nit comb is a safe and effective non-chemical method, especially suitable when natural remedies are preferred. This method ensures physical removal of lice and nits and is often recommended in combination with other treatments for full eradication.

C. Boil the child's combs, brushes, and hair accessories in water for 10 min: While this action is effective for preventing re-infestation by sanitizing personal items, it does not treat the lice on the child. It is an important environmental control measure but not a primary treatment strategy.

D. Apply mayonnaise to the child's head: Mayonnaise is sometimes cited as a natural remedy because it may smother lice, but there is limited evidence supporting its effectiveness. Additionally, it does not reliably kill nits and may not fully resolve the infestation without combing.