A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use?

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Question 1 of 5

A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use?

Correct Answer: C

Rationale: The client should hold the cane on the stronger side of her body to increase support and maintain alignment. The top of the cane should be parallel to the greater trochanter, the client should only advance the cane 14-30 cm at a time, the client should move the weak leg with the cane for support.

Question 2 of 5

A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Make sure two fingers can fit under the sleeve to prevent inhibition of circulation. The client should be in dorsal recumbent or semi-Fowler's. The nurse should place the sleeve under each leg with an opening. The pressure should be between 35-65.

Question 3 of 5

A nurse is caring for a child who has a prescription for a blood transfusion. The child's parents have refused the treatment due to their religious beliefs. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Examine personal values about the issue. Nurses should give care that is without bias. The nurse should provide information but not push care as 'necessary', parents must give consent for blood transfusions, and the provider should give information about the procedure not a spiritual support person.

Question 4 of 5

A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate?

Correct Answer: D

Rationale: Contact precautions. Major wound infections require contact precautions.

Question 5 of 5

A nurse is talking with an older adult client who is contemplating retirement. The client states, 'I keep thinking about how much I enjoy my job. I’m not sure I want to retire'. Which of the following responses should the nurse make?

Correct Answer: C

Rationale: Let’s talk about how the change in your job status will affect you.

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