Which approach is best for the nurse to use when directing a client with Huntington's disease to the hospital cafeteria?

Provide step by step verbal directions.

Orient the client to the color coding system used for locating hospital services.

Use the hospital map to show the client where the cafeteria is located.

Escort the client to the cafeteria.

Answer and Explanation

The Correct Answer is D

D. For individuals with Huntington's disease, who may experience motor impairments and difficulties with coordination and balance, having someone escort them to the cafeteria could be the most practical and supportive approach.

A. Verbal directions may be a component of assistance but they may not be the most effective approach on their own.

B. Individuals with Huntington's disease may still have difficulties with executive function and orientation, which could limit their ability to effectively use a color coding system independently.

C. Providing a visual representation of the hospital layout using a map could be a helpful approach for a client with Huntington's disease. However, the cognitive and motor impairment present may hinder access even in the presence of a map.

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Correct Answer is A

Explanation

A. According to the usage guidelines for ipratropium inhalers, priming the inhaler typically requires only two sprays into the air, away from the face, before the first use to ensure proper medication dosage.

B. Rinsing the mouth after each use is a recommended practice to prevent irritation and infection.

C. Storing the medication at room temperature is correct, as extreme temperatures can affect the medication's efficacy.

D. Attaching a spacer device to the inhaler is also a recommended practice to improve medication delivery and reduce the risk of side effects.

A. Secure tracheostomy ties by making knots close to the tube. B. Leave the old ties in place until the new ones are secure. C. Remove ties to secure a disposable, soft foam collar with self-adhesive fastening. D. Place knots of the ties laterally to prevent irritation and pressure.

Correct Answer is B

Explanation

B. This ensures that the tracheostomy tube remains stable and reduces the risk of the tube becoming dislodged during the process.
A. Tying knots close to the tracheostomy tube can increase the risk of pressure ulceration and irritation to the skin around the stoma.
C. A disposable, soft foam collar with self-adhesive fastening may be used for additional support and comfort, but it does not replace the need for securing the tracheostomy ties.
D. Placing knots laterally may not provide adequate support and can increase the risk of accidental displacement of the tracheostomy tube.

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Which approach is best for the nurse to use when directing a client with Huntington's disease to the hospital cafeteria?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?

Correct Answer is A

Explanation

A client who has had a laryngectomy and tracheostomy frequently expectorates copious amounts of purulent secretions. When changing the lies of the tracheostomy tube, which action is most important for the nurse to take?

Correct Answer is B

Explanation

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