This topic contains a solution. Click here to go to the answer

Author Question: What should the nurse do first when assisting the client to a lateral position for placement of a ... (Read 54 times)

meagbuch

  • Hero Member
  • *****
  • Posts: 568
What should the nurse do first when assisting the client to a lateral position for placement of a bedpan?
 
  1. Perform hand hygiene.
  2. Move the client to the side of the bed.
  3. Place the client's arm over the chest.
  4. Raise the opposite side rail.

Question 2

The nurse is considering using the NANDA nursing diagnosis Impaired Physical Mobility in the care plan of a newly admitted client. In order to make this problem statement more individual, the nurse should:
 
  1. Include what mobility is impaired.
  2. Use Level 1, 2, 3, or 4 to describe immobility.
  3. Describe what happens when the client attempts mobility.
  4. Add strength assessment data.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

recede

  • Sr. Member
  • ****
  • Posts: 315
Answer to Question 1

Correct Answer: 1
Rationale 1: Even though the intervention being performed is placing the client on a bedpan, the nurse should first perform hand hygiene. This prevents cross-transmission of infection from one client to another. Performing this hygiene in front of the client also increases the client's perception of the quality of care being provided and the nurse's concern about infection control.
Rationale 2: This action is done later in the procedure.
Rationale 3: This action is done later in the procedure.
Rationale 4: This action is done later in the procedure.

Answer to Question 2

Correct Answer: 1
Rationale 1: In order to make this broad nursing diagnosis more specific to the client, the nurse should include what mobility is impaired. For example, if the client cannot transfer from bed to chair, a more specific nursing diagnosis is Impaired Transfer Mobility.
Rationale 2: There are NANDA levels of activity intolerance, but not of immobility.
Rationale 3: Describing what happens when the client attempts mobility might be used in the as manifested by section of the nursing diagnosis, but not in the problem statement section.
Rationale 4: Strength assessment data might be used in the as manifested by section of the nursing diagnosis, but not in the problem statement section.




meagbuch

  • Member
  • Posts: 568
Reply 2 on: Jul 23, 2018
Excellent


ryansturges

  • Member
  • Posts: 338
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

Did you know?

It is difficult to obtain enough calcium without consuming milk or other dairy foods.

Did you know?

The largest baby ever born weighed more than 23 pounds but died just 11 hours after his birth in 1879. The largest surviving baby was born in October 2009 in Sumatra, Indonesia, and weighed an astounding 19.2 pounds at birth.

Did you know?

Nitroglycerin is used to alleviate various heart-related conditions, and it is also the chief component of dynamite (but mixed in a solid clay base to stabilize it).

Did you know?

Certain topical medications such as clotrimazole and betamethasone are not approved for use in children younger than 12 years of age. They must be used very cautiously, as directed by a doctor, to treat any child. Children have a much greater response to topical steroid medications.

For a complete list of videos, visit our video library