An average-size male client has right-sided hemiparesis. The ...

[SO00]

An average-size male client has right-sided hemiparesis. The nurse helps this client to walk by:
 
  1. Standing at his left side and holding his arm
  2. Standing at his left side and holding one arm around his waist
  3. Standing at his right side and holding his arm
  4. Standing at his right side and holding one arm around his waist

Question 2

The nurse is assessing the body alignment of an alert and mobile client. The first action that the nurse should take is to:
 
  1. Observe gait
  2. Put the client at ease
  3. Determine activity tolerance
  4. Determine range of joint motion

[yifu223]

Answer to Question 1

ANS: 4
The nurse provides support at the waist so the client's center of gravity remains midline. The nurse should be on the client's weaker side to assist him with ambulation. The nurse should hold onto the client's waist, not his arm, and should be on his weaker side, not his strong side. The nurse should be on the client's weaker side. The nurse should hold onto the client's waist to help steady him in maintaining his center of gravity midline so that he does not lose his balance and fall.

Answer to Question 2

ANS: 2
The first step in assessing body alignment is to put the client at ease so unnatural or rigid posi-tions are not assumed. When assessing body alignment, the first action of the nurse is to put the client at ease. Later, the nurse may assess the client's gait to observe the client's balance, posture, and ability to walk without assistance. Activity tolerance is the kind and amount of exercise or activity a person is able to perform. It is not the first step in assessing a client's body alignment. Assessing ROM is one of the first assessment techniques used to determine the degree of dam-age or injury to a joint. It is not the first step in assessing a client's body alignment.

[SO00]

Gracias!

[diana chang]

TYSM