The nurse is assisting the client to ambulate in the hall when ...

[tiara099]

The nurse is assisting the client to ambulate in the hall when the client suddenly complains of dizziness. Which action by the nurse is the priority?
 
  1. Escorting the client back to the room and into bed
  2. Calling for help to escort the client back to the room
  3. Assisting the client to sit on the nearest chair with the head between the legs, and going to find assistance
  4. Assisting the client to a horizontal position on the floor if no chair is available

Question 2

The nurse is caring for a client who is recovering from cerebrovascular accident (CVA) and is unable to move the right side of the body. Which term will the nurse use when documenting this client's condition?
 
  1. Quadriplegia
  2. Paraplegia
  3. Hemiplegia
  4. Paralysis

[alexanderhamilton]

Answer to Question 1

Correct Answer: 4

The client should be either seated in a chair, if available, or assisted to a horizontal position on the floor, and the nurse must stay with the client. Attempting to escort the client back to the room could result in injury if the client loses consciousness.

Answer to Question 2

Correct Answer: 3

Hemiplegia is defined as the loss of movement on one side of the body. Paraplegia is paralysis of two extremities, whereas quadriplegia is paralysis of four extremities. Using just the term paralysis does not provide enough information regarding this client's specific paralysis related to the CVA.

[tiara099]

Thank you

[alexanderhamilton]

Happy to help you