Mrs. Kennedy had a CVA (cerebrovascular accident) and has severe right-sided weakness. She has been taught to walk with a cane. The nurse is evaluating her use of the cane prior to discharge. Which of the following reflects correct use of the cane?

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Question 1 of 5

Mrs. Kennedy had a CVA (cerebrovascular accident) and has severe right-sided weakness. She has been taught to walk with a cane. The nurse is evaluating her use of the cane prior to discharge. Which of the following reflects correct use of the cane?

Correct Answer: A

Rationale: Correct cane use for right-sided weakness is holding it in the left hand, moving it forward, then the right leg, then the left , per the document. This ensures two-point floor contact, stabilizing the weak side. Right-hand use (B, C) lacks strength. Moving cane with strong leg or weak leg destabilizes. A maximizes support and safety, making it correct.

Question 2 of 5

A client with diarrhea should avoid which of the following?

Correct Answer: A

Rationale: Orange juice should be avoided with diarrhea. Its high sugar and acidity increase osmotic pull, worsening fluid loss. Tuna , eggs , and macaroni are bland, less likely to exacerbate symptoms. A aligns with BRAT diet principles (bananas, rice, applesauce, toast), avoiding irritants, making it the food to skip.

Question 3 of 5

The charge nurse on a cardiac step-down unit makes assignments for the team consisting of a registered nurse (RN), a practical nurse (PN), and an unlicensed assistive personnel (UAP). Which client should be assigned to the PN?

Correct Answer: B

Rationale: A 58-year-old with hypertension and possible angina suits a PN. Stable monitoring and care align with PN scope, unlike unstable AF , pre-procedure , or discharge teaching , which need RN skills. B ensures appropriate delegation.

Question 4 of 5

A charge nurse working in a long term care facility is making out assignments. Which assignment made by a registered nurse to an unlicensed assistive personnel (UAP) requires intervention by the supervisor?

Correct Answer: C

Rationale: Oral suctioning of an unresponsive client requires supervisor intervention. It's a skilled task beyond UAP scope, risking airway harm. Ulcer care , bathing/feeding , and G-tube feeding (D, likely typo) are delegable. C demands RN oversight, making it inappropriate.

Question 5 of 5

When teaching a 10 year-old child about their impending heart surgery, which form of explanation meets the developmental needs of this age child?

Correct Answer: D

Rationale: A heart model meets a 10-year-old's needs. Concrete operational stage (Piaget) favors tangible explanations, reducing fear. Verbal lacks depth, booklet may overwhelm, peer risks confusion. D enhances understanding, making it the best method.

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