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Author Question: A hospitalized client's strength of the upper extremities is rated at 3. What does the nurse ... (Read 27 times)

hubes95

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on: Jun 25, 2018
A hospitalized client's strength of the upper extremities is rated at 3. What does the nurse understand about this client's ability to perform activities of daily living (ADLs)?
 
  a. The client is able to perform ADLs but not lift some items.
  b. No difficulties are expected with ADLs.
  c. The client is unable to perform ADLs alone.
  d. The client would need near-total assistance with ADLs.

Question 2

A client is admitted to the nursing unit after having a tympanoplasty. What activities does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
 
  a. Administer prescribed antibiotics.
  b. Keep the head of the client's bed flat.
  c. Remind the client to lie on the operative side.
  d. Remove the iodoform gauze in 8 hours.
  e. Take and record postoperative vital signs.


gstein359

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
This rating indicates fair muscle strength with full range of motion against gravity but not resistance

Answer to Question 2

ANS: B, E
The UAP can keep the head of the client's bed flat and take/record vital signs. The nurse administers medications. The client should lie flat with the head turned so the operative side is up. The nurse or surgeon removes the gauze packing.


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