The nurse is caring for an older-adult patient who has been diagnosed with a stroke. Which intervention will the nurse add to the care plan?
Encourage the patient to perform as many self-care activities as possible.
Place the patient on bed rest to prevent fatigue.
Coordinate with occupational therapy for gait training.
Provide a complete bed bath to promote patient comfort.
The Correct Answer is A
A. Encouraging self-care helps promote independence and functional recovery in stroke patients, supporting rehabilitation and enhancing self-esteem.
B. Bed rest is not recommended as it can contribute to muscle deconditioning and complications associated with immobility.
C. While coordination with therapy is beneficial, gait training is typically handled by physical therapy rather than occupational therapy.
D. Providing a complete bed bath limits the patient’s autonomy; encouraging partial participation supports the patient's involvement in self-care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Regular engagement in meditation for 10 minutes daily indicates effective learning and practice of meditation techniques, as consistency is key to developing this skill.
B. Breathing quickly is not indicative of effective meditation, as the practice typically involves slow, deep breathing to promote relaxation.
C. While lying on the floor can be a comfortable position for some, it does not specifically indicate effective learning in meditation, as it depends on the individual’s preferences.
D. Focusing on a particular image can be a part of meditation but does not solely demonstrate effective learning without the context of regular practice and the correct breathing techniques.
Correct Answer is B,C,D,E,F
Explanation
A. This statement is incorrect; the nurse should touch only the inside of the first glove while putting it on to maintain sterility.
B. The outer glove package should be removed by tearing it open to access the gloves inside.
C. After putting on the second glove, interlocking hands helps to ensure that the gloves remain sterile.
D. Slipping fingers underneath the second glove cuff with the gloved dominant hand helps to keep the gloves sterile while donning them.
E. Laying the glove package on a clean flat surface above the waistline prevents contamination.
F. The dominant hand should be gloved first to maintain a sterile technique, as the dominant hand is used for the procedure.
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