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Author Question: A nurse instructs a nursing assistant about the proper use of a gait belt. The nurse should ... (Read 93 times)

captainjonesify

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on: Jul 11, 2018
A nurse instructs a nursing assistant about the proper use of a gait belt. The nurse should intervene after observing the nursing assistant:
 
  a. walking on the patient's strong side.
  b. walking to the side of the patient.
  c. securing the gait belt securely around the patient's waist.
  d. grasping the handles of the gait belt while the patient ambulates.

Question 2

The nurse notes an edematous area around the insertion site of an IV that is cool to the touch and the skin of which appears blanched. Based on these assessment findings, the nurse's first priority is to:
 
  a. apply warm compresses to the area.
  b. notify the charge nurse.
  c. stop the infusion.
  d. reposition the arm to improve the fluid flow.


kingfahad97

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Reply #1 on: Jul 11, 2018
Answer to Question 1

A
A gait belt should be securely applied around the patient's waist. It has handles attached for the nurse to grasp while the patient ambulates. The nurse should walk on the patient's weaker side so that assistance may be given if the patient starts to fall.

Answer to Question 2

C
The infusion should be stopped and restarted in another location. Warm compresses are contraindicated. Repositioning the arm will not remedy the infiltration. The charge nurse can be notified after the fact.


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