Q&A Hero

Q: A client says that a neighbor buys herbal preparations over the internet because they cost less. What should the nurse explain about the selection of herbal preparations? 1. All herbal preparations are the same 2. Herbal preparations are not regulated 3. Preparations that cost less are less effective 4. Preparations from out of the country are the best

Q: A client recovering from rape trauma syndrome who experiences severe anxiety when out of doors in the evening asks about nonpharmacological approaches to reduce stress. What should the nurse include when teaching this client controlled breathing? 1. Follow a pant-blow-pant pattern 2. Breathe in air using an open mouth 3. Sit in a chair that supports the spine 4. Take a deep breath and hold it for 10 seconds

Q: The nurse is caring for a client with chronic back pain. Which alternative therapy should the nurse recommend to this client? 1. Prayer 2. Chiropractic 3. Herbal medicine 4. Energy medicine

Q: During a home visit the nurse learns that a client's daughter is investigating naturopathy to help with the client's health problem. What should the nurse explain about this alternative therapy approach? 1. Drugs are not used 2. Remedies are prescribed 3. A wide variety of herbs can be used 4. A special instrument is used to measure effectiveness

Q: A client has been doing tai chi and performing visualization to help reduce stress however continues to feel anxious. What dietary changes should the nurse recommend to this client? Select all that apply. 1. Eliminate caffeine products 2. Avoid sugar and carbohydrates 3. Eat more raw fruits and vegetables 4. Limit the use of vitamin supplements 5. Limit protein intake to 10%"15% of consumed calories

Q: A pregnant client has a friend who used yoga to help prepare for childbirth and asks where to learn how to do this. What should the nurse respond? 1. "Yoga is too strenuous while pregnant." 2. "Have you asked your friend to teach you?" 3. "There are teachers who can teach you how to do this." 4. "Yoga is just glorified stretching which you can do on your own."

Q: A client newly diagnosed with heart failure asks what herbal preparations can be taken to help reduce the symptoms of the disorder. What should the nurse consider discussing with the client? 1. Turmeric 2. Green tea 3. Hawthorne 4. Black cohosh

Q: A client scheduled for a mastectomy requests that acupuncture be used instead of anesthesia. What should the nurse respond to this client? 1. "That's a good idea." 2. "Let's talk to your doctor about that." 3. "No one here in the hospital knows how to do acupuncture." 4. "Your surgery is considered major and acupuncture will not be effective."

Q: A client says that the environment of the health clinic is soothing and relaxing. Which essential oil is the nursing staff most likely using in the diffuser in the waiting room? 1. Rose 2. Lavender 3. Peppermint 4. Lemon and thyme

Q: While preparing a care plan the nurse adds interventions to address stress. What behavioral manifestation did the nurse assess to make this decision? 1. Acne 2. Anger 3. Confusion 4. Hair twisting

Q: After completing an assessment the nurse asks the client questions about stress. What observations caused the nurse to focus on this area of the client's health? Select all that apply. 1. Hives 2. Neck ache 3. Blurred vision 4. Excessive thirst 5. Heart palpitations

Q: The family of a client undergoing treatment for cancer is concerned about the client's unwillingness to spend time or talk with any family members. Which category of stress is this client demonstrating? Select all that apply. 1. Behavioral 2. Physiologic 3. Interpersonal 4. Psychological 5. Developmental

Q: During an assessment the nurse considers that a client's new onset of symptoms is because of an increased amount of stress. What did the nurse assess to make this clinical determination? Select all that apply. 1. Sweating 2. Warm dry skin 3. Rapid heart rate 4. Elevated blood pressure 5. Increased depth of respirations

Q: A client is observed in the clinic waiting room bouncing both legs and snapping the fingers. After a short while the client stands and begins to pace. On what should the nurse focus when assessing this client? 1. Level of pain 2. Reason for the anxiety 3. Fear of health problems 4. Frustration with waiting

Q: The nurse suspects that a client is experiencing stress. Which observation indicates that the client's manifestations fit Hans Selye's definition of this disorder? Select all that apply. 1. Weight gain 2. Loss of appetite 3. Inability to sleep 4. Planning a vacation 5. Increased blood glucose level

Q: A client with intractable acute pain is undecided about the use of epidural pain management. What should the nurse explain about epidural analgesia? Select all that apply. 1. "The chance of becoming addicted to pain medication is lower." 2. "The effects of pain medication last much longer when this route is used." 3. "The dose of medication can be lower because it isn"t metabolized in the liver." 4. "The narcotic moves quickly into the spinal cord and blocks the reception of pain." 5. "The risk of developing side effects from pain medication is eliminated this route."

Q: An organization is updating the policy for pain management. What should be included in the updated policy that addresses the Joint Commission's pain management standards? Select all that apply. 1. Complete a baseline pain assessment 2. Monitor the acute pain the client is experiencing 3. Follow guidelines of pharmacologic management 4. Educate client and family about pain management 5. Limit the use of nonpharmacological management

Q: When caring for an older adult client who does not speak English, which assessment tool is the most appropriate for the nurse to use to assess this client's pain? 1. The FACES rating scale 2. An interpreter 3. The client's affect 4. The client's vital signs

Q: When conducting a pain history, which data is least essential for the nurse to obtain regarding the client's pain? 1. Intensity, quality, and patterns 2. Precipitating factors, alleviating factors, and associated symptoms 3. Effects on activities of daily living, coping resources, and affective responses 4. Significant other's assessment of the pain

Q: The nurse is instructing the client on how to use the client-controlled analgesia (PCA) pump. Which statement made by the client indicates an appropriate understanding of the nurse's instructions regarding the use of the PCA pump? 1. "I will push the button continually until I am pain free." 2. "I will likely overdose on pain medication with the use of the button." 3. "I will let my family control my pain medicine by allowing them to push the button." 4. "I will push the button when the pain becomes severe."

Q: Pain is a complex phenomenon that affects both the physical and mental areas. When teaching the client about pain, which statement made by the client would indicate appropriate understanding? 1. "Cancer pain usually only lasts a short time." 2. "Acute pain is usually rapid and can vary in intensity." 3. "Chronic pain may be acute, chronic, or intermittent." 4. "Chronic pain usually only lasts a little while."

Q: The nurse is obtaining a pain history. The client reports pain in the right ear. Which response by the nurse is the most appropriate? 1. "Is the pain minor?" 2. "Do you have anything else that hurts?" 3. "Tell me more about the pain and what you do for it when it hurts." 4. "I'll note that in the record. Is there anything else I should know?"

Q: The nurse is caring for a client who is experiencing acute pain. Which action by the client, noted by the nurse during the assessment, is considered an associated symptom of pain? 1. Changing position 2. Crying 3. Grimacing 4. Vomiting

Q: The nurse enters the postoperative client's room and finds the client perspiring with fists clenched. As the nurse administers routine medications and provides care, the client is pleasant and cooperative. Which action by the nurse is the most appropriate? 1. Documenting "no complaints of pain offered" and assessing that the client is comfortable 2. Asking the client if pain is being experienced 3. Informing the client that he looks uncomfortable and asking him to describe his pain 4. Instructing the client to use the call bell if he experiences pain

Q: The hospice nurse is making a home visit to a client with terminal cancer. The client reports poor pain control and the client's spouse says, "I'm giving such big doses of medication, I'm afraid she is going to overdose if I give her more." Which response by the nurse is the most appropriate? 1. "You're wise to be concerned. These are very strong medications you're administering." 2. "You want her to be comfortable but you don't want to endanger her life. Let's talk about the medication you're giving and warning signs you'll see if the dosage you're administering is too high." 3. "I hear what you're saying, but you're not giving enough pain medication, so she is in severe pain. You need to give more." 4. "You aren't giving adequate pain relief, and she is in severe pain as a result."

Q: The nurse is working on the orthopedic unit, and is caring for a client who complains of back pain. Which responses by the nurse would be appropriate when caring for this client? Standard Text: Select all that apply. 1. "I'm sorry you're hurting. I want to make you feel better." 2. "People with back pain experience very different symptoms. Tell me more about your back." 3. "You had medication for your pain at 4 p.m., so I can't give you any more until 8 p.m., because the health care provider ordered it every 4 hours." 4. "Does anything other than your back hurt?" 5. "Why don't you try another position to make it feel better until it's time for more pain medication?"

Q: The nurse is working on a surgical unit, and overhears another nurse say, "That client is asking for pain medication again. He is constantly on the call bell, always reporting how severe his pain is, and I think he's just drug-seeking. I'm going to make him wait the full 4 hours before I give this medication again." Which action by the nurse is the most appropriate in this situation? 1. Ignoring the situation because the client in question is not this nurse's responsibility 2. Entering the nurses' station, reprimanding the nurse, and completing an incident or variance report 3. Pulling the second nurse aside and providing a reminder that the sensation of pain is subjective, and that professionals have a duty to believe clients' reports of their symptoms 4. Informing the charge nurse of what was overheard

Q: The nurse working in a surgical center is caring for a client who had an abdominal nevus removed. The client is complaining of intense pain. Which action by the nurse is the most appropriate? 1. Administer a nonnarcotic analgesic because the client had minor surgery. 2. Attempt to divert the client without administering an analgesic because the surgery was so minor. 3. Administer the stronger analgesic ordered by the primary care provider. 4. Notify the health care provider that the client's pain is excessive for the minor surgery performed.

Q: The nurse is caring for a client who had extensive surgery, and is now 6 days postoperative and getting out of bed for the first time later this morning. When the nurse assesses the client for pain, the client responds, "It hurts, but I don't want to take any more drugs. I don't want to end up addicted." Which response by the nurse is the most appropriate? 1. "If you don't take the pain medication on a regular schedule, you won't get addicted." 2. "People who have real pain are unlikely to become addicted to analgesics provided to treat the pain." 3. "You are wise to be concerned, and after 6 days it is probably time to stop taking narcotics if you can manage the pain in other ways." 4. "Don't worry about getting addicted. I will make sure you don't get addicted."

Q: The nurse working on the labor and delivery unit has noticed how differently each client responds to the pain associated with labor. Which reasons should the nurse attribute to these various responses to pain? Standard Text: Select all that apply. 1. Ethnic and cultural values 2. Developmental stage 3. Past experience with pain 4. Physiological functioning of the brain 5. Meaning of pain

Q: The nurse is using a nonpharmacologic method to manage a client's pain, and applies a unit that applies low-voltage electrical stimulation directly over the pain area. When documenting this intervention, which term is the most appropriate for the nurse to use? 1. TENS unit 2. Nerve block 3. Functional restoration 4. Cutaneous stimulation

Q: When documenting the maximum amount of pain a client can tolerate, which term is the most appropriate for the nurse to use? 1. Pain threshold 2. Hyperalgesia 3. Pain tolerance 4. Allodynia

Q: Several individuals arrive to the emergency department experiencing manifestations that cannot be immediately determined. Which action is a priority when caring for these individuals? 1. Contact the Poison Control Center 2. Institute standard, airborne, and contact precautions 3. Contact the organization's disaster preparedness committee 4. Notify the Centers for Disease Control and Prevention (CDC)

Q: A victim of radiation exposure from a dirty bomb several weeks ago comes into the emergency department because of excessive bleeding. For which acute radiation syndrome should the nurse plan care for this client? 1. Cutaneous 2. Hematopoietic 3. Cardiovascular 4. Gastrointestinal

Q: A victim of cyanide exposure is transported to an urban medical center. Which treatment should the nurse anticipate being prescribed for this client? 1. Valium 2. Atropine 3. Sulfur thiosulfate 4. Anti-Lewisite (BAL)

Q: The nurse notes that within several hours four clients arrived to the emergency department experiencing symptoms of shortness of breath, chest tightness, and burning eyes. What should the nurse suspect is occurring with these clients? 1. Chemical exposure 2. Botulism intoxication 3. West Nile virus infestation 4. Exposure to typhoidal tularemia

Q: While participating in a religious humanitarian effort in West Africa the nurse sees several children with symptoms of an acute viral infection. What additional manifestations should cause the nurse to suspect that these children are experiencing smallpox? Select all that apply. 1. Rash localized to the trunk 2. Rash contains areas of scabbing 3. Rash located along a nerve track 4. Rash contains macules and papules 5. Rash on both sides of the face and arms

Q: A client seeks medical attention for the onset of lower extremity paralysis after eating food prepared during a camping trip. Which disease process should the nurse anticipate planning care for this client? 1. Plague 2. Botulism 3. Typhoidal tularemia 4. Viral hemorrhagic fever

Q: A client is admitted with suspected gastrointestinal anthrax. Which type of precautions should the nurse anticipate being prescribed for this client? 1. Droplet 2. Contact 3. Airborne 4. Standard

Q: The nurse is participating in attempts to rescue victims of a landslide after an earthquake in Southern Chile. Several victims are experiencing extreme diarrhea. Which microorganisms should the nurse anticipate as causing the victims' manifestations? Select all that apply. 1. Cholera 2. Norovirus 3. Leptospirosis 4. West Nile virus 5. Vibrio vulnificus

Q: The nurse, triaging victims of a dirty bomb, notes the radiation dosimeter reading of 150R/h. How should the nurse interpret this reading? 1. 150 rad exposure will occur in 1 hour 2. In 1 hour the radiation exposure will decrease by 150 3. Radiation exposure within 150 feet will occur in 1 hour 4. The maximum permitted amount of radiation exposure in 1 hour is 150

Q: The nurse stops on the way home to assist in the care of victims of a multi-motor vehicle crash site. The emergency response team uses a five level triage system. In which order should the nurse triage victims? 1. Victim walking with a limp 2. Victim bleeding from a gaping leg wound 3. Victim with a pulse of 20 and apneic periods 4. Victim sitting on the side of the road staring 5. Victim with shallow respirations and chest pain

Q: In preparation to serve as a member of the Disaster Medical Assistance Team (DMAT) the nurse is preparing a home emergency kit. What should the nurse include in this kit? Select all that apply. 1. Hand-cranked radio 2. Computer battery charger 3. Bottled water to last 15 days 4. Gloves for work and protection 5. High protein and calorie snack foods

Q: A hurricane levels several homes and businesses in a small southwestern community. At which point should the nurse expect to become involved in the care of those affected by the storm? 1. Immediately when the storm ends 2. Once a state of emergency is declared 3. It depends upon where the nurse lives 4. When victims are brought to the hospital

Q: A victim who witnessed the deaths of several coworkers during a terrorist attack is attending therapy sessions. Currently the victim client is dealing with event by confronting it, talking about it, and working through feelings. In which phase of recovery is this client? 1. Recovery 2. Avoidance 3. Adjustment 4. Reconsideration

Q: Emergency response personnel are caring for a victim of a nuclear blast. In which order should the trauma assessment be completed? 1. Ensure breathing 2. Plan to evacuate 3. Establish an airway 4. Determine circulation status 5. Assess level of consciousness 6. Identify contaminant exposure

Q: The waste water created from the decontaminating victims of radiation exposure is being collected. What should be done with this water? 1. Rinse down the sink 2. Flush down the commode 3. Place in bins and label "radioactive" 4. Take outside and pour it on the ground

Q: A client comes into the emergency department after exposure to a biological agent. What should the nurse do after removing the victim's clothing? 1. Place the victim in an isolation room 2. Administer a broad spectrum antibiotic 3. Send the victim home to wash with soap and water 4. Cleanse exposed areas with sodium hypochlorite and tepid water

Q: Emergency personnel are establishing a hot zone to decontaminate victims of a nuclear blast. What should be a priority when caring for these victims? 1. Remove the victims' clothing 2. Rinse the victims' bodies' hot water 3. Wash the victims' bodies' with chlorine 4. Wash and rinse the bodies with cold water

Q: The nurse is visiting the home of a client recovering from pneumonia. Which observation indicates that teaching about infection control practices would be indicated? 1. Picks up a sandwich after petting the family dog 2. Hands are washed before and after preparing food 3. Washes hands after coughing and blowing the nose 4. Sets out a clean wash cloth and towel at the kitchen sink

Q: During a home care visit the nurse needs to change a client's infected wound dressing. In which order should the nurse perform actions when additional supplies are needed once the soiled dressing has been removed from the client? 1. Wash hands 2. Apply gloves 3. Remove gloves 4. Access equipment bag 5. Place items on clean surface

Q: The nurse assists the health care provider with the collection of cerebrospinal fluid. Which is an important safety measure for the nurse to follow immediately after collection of the sample? 1. Maintain sterility of the procedure tray. 2. Discard all sharps in a puncture-proof container. 3. Label specimens and send to the lab. 4. Remove PPE and discard.

Q: Place the steps for performing hand hygiene using soap and water in the appropriate order. Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list. Response 1. Apply lotion to hands. Response 2. Dry hands thoroughly and use paper towel to turn off faucet. Response 3. Rinse hands and wrists thoroughly, keeping hands down and elbows up. Response 4. Wet hands and wrists thoroughly under running water. Apply a small amount of soap. Response 5. Perform hand hygiene using plenty of lather and friction for at least 10"15 seconds. Response 6. Turn on the water and regulate flow so that temperature is warm.

Q: The nurse is coming out of an isolation room. Which item is removed first to prevent any exposure of infectious materials? 1. Gloves 2. Mask 3. Gown 4. Goggles

Q: The nurse is assisting the health care provider insert a chest tube into a client with a hemothorax following a motor vehicle crash. Which should the nurse don in order to assist with this procedure? Standard Text: Select all that apply. 1. Sterile gown 2. Sterile gloves 3. Mask with eye shield 4. Mask 5. Clean gown

Q: Which aspect of hand washing is most effective when there is visible dirt on the hands? 1. Using hot water instead of warm water 2. Using plenty of lather with friction 3. Drying the hands vigorously from wrists to fingers 4. Applying lotion to the hands

Q: What should the nurse recognize as the difference between standard precautions and transmission-based isolation precaution systems? 1. Standard precautions protect the nurse, whereas transmission-based precautions protect the client. 2. Standard precautions require the use of clean gloves, whereas transmission-based precautions require the use of sterile gloves. 3. Standard precautions are used in addition to transmission-based precautions when standard precautions would not completely block the chain of infection. 4. Transmission-based precautions block the chain of infection, whereas standard precautions protect the nurse but do not block the chain of infection.

Q: When the nurse performs hand hygiene properly, which aspect in the chain of infection is the nurse breaking? 1. Portal of entry 2. Portal of exit 3. Mode of transmission 4. Etiologic agent

Q: Which intervention should the nurse use to break the chain of infection by eliminating the reservoir? 1. Ensure that all antibiotics are taken properly and only when needed, to avoid creation of antibiotic-resistant microorganisms. 2. Avoid coughing or sneezing without covering the mouth. 3. Use sterile technique for invasive procedures. 4. Change dressings and bandages when they are soiled or wet.

Q: The nurse uses a substance to destroy microorganisms other than spores. Which term should the nurse use to describe this substance? 1. Antiseptic 2. Disinfectant 3. Sterilizer 4. Aseptic

Q: Which transmission of organisms is least effected by the nurse performing hand hygiene? 1. Vehicle-borne transmission 2. Vector-borne transmission 3. Indirect contact transmission 4. Direct contact transmission

Q: Which items should the nurse use with all clients to prevent the transmission of potentially infective organisms among the nurse, client, and other individuals? Standard Text: Select all that apply. 1. Hand hygiene 2. Standard precautions 3. Personal protective equipment 4. Isolation procedures 5. Antimicrobial soap

Q: The nurse is caring for a client with a deep draining abdominal wound. Which factor would require the nurse to wear a mask and goggles when caring for this client? 1. The wound is infected. 2. The client is confused and disoriented. 3. The wound is covered by wet-to-damp dressings. 4. The client is HIV-positive.

Q: The nurse observes the newly hired unlicensed assistive personnel (UAP) performing routine client care. Which behaviors indicate the UAP understands the use of personal protective equipment? 1. The UAP removes the gown first and then the gloves after providing care. 2. The UAP applies gloves before emptying the client's indwelling catheter bag, then removes gloves and washes hands before measuring urine output. 3. The UAP applies gloves to clean the client's dentures, then removes gloves and performs hand hygiene prior to bathing the client. 4. The UAP wears gown and gloves when performing postmortem care.

Q: The nurse is caring for a client with a medical diagnosis of HIV/AIDS admitted to the hospital with Pneumocystis carinii infection. In order to reduce the spread of infection, which is the priority nursing intervention? 1. Teaching the client to provide self-care 2. Teaching respiratory/cough etiquette 3. Teaching the use of sexual barriers 4. Teaching the use of standard precautions

Q: The nurse is caring for a client who developed an infection after admission to the hospital. Which term should the nurse use when documenting this infection? 1. Idiopathic infection 2. Bacterial infection 3. Health care-associated infection 4. Therapeutic infection

Q: A client who has been on bedrest for several weeks is permitted to sit out of bed in a chair. What should the nurse do to reduce the client's risk of becoming dizzy when transferring out of bed to a chair? 1. Position prone for several hours every day 2. Raise and lower the foot of the bed several times 3. Raise and lower the head of the bed several times 4. Assist to roll in bed from side to side several times

Q: A client asks why a neighbor has a cane that has one tip and the one provided by physical therapy has four tips. What should the nurse respond to this client? 1. "A cane with one tip is more expensive." 2. "A cane with 4 tips has a better hand grip." 3. "A cane with one tip has a better hand grip." 4. "A cane with 4 tips provides more stability."

Q: A client recovering with left leg weakness needs to learn how to walk stairs. Which approach is the safest for the nurse to review with the client? 1. Lift the left leg to the step and then bring the right leg up 2. Lift the right leg to the step and then bring the left leg up 3. Step down on the right leg and then bring the left leg down 4. Turn to the side and bring the right leg down followed by the left leg

Q: The home care nurse is reinforcing teaching provided to a postoperative client about active range-of-motion exercises. Which client statements indicate that teaching has been effective? Select all that apply. 1. "I stop when I feel pain." 2. "I keep going when I feel pain." 3. "I exercise all my joints every 4 hours." 4. "I exercise my ankles at least every 2 hours." 5. "I exercise once in the morning and may later on."

Q: At the conclusion of an interdisciplinary team meeting it was decided that a client would benefit from preservative interventions. What should the nurse add to this client's care plan? Select all that apply. 1. Measure for a cane 2. Instruct in the use of a walker 3. Active range of motion exercises 4. Consider the use of crutch walking 5. Assist with ambulation three times a day

Q: The nurse assists the client to ambulate for the first time, and documents the distance, pace, and support required. What should the nurse include in the documentation for this client? 1. Activity tolerance 2. Client's sense of security 3. Use of a gait belt 4. Where the client walked

Q: The nurse is teaching the client who requires maximum support secondary to generalized weakness to walk with a walker. Which technique used by the nurse is the most appropriate? 1. Move the walker ahead while moving the weak leg forward, bearing weight on the strong leg. 2. Move the walker ahead while moving the strong leg forward, bearing weight on the weak leg and the arms. 3. Move the walker ahead, then move the right foot up to the walker while body weight is borne by the left leg and both arms, then move the left foot, bearing weight on the right leg and both arms. 4. Walk forward and push the walker ahead before taking the next step.

Q: The nurse is teaching the client how to walk with crutches. Which gait requires considerable skill, strength, and coordination? 1. Three-point gait 2. Swing-to gait 3. Swing-through gait 4. Two-point alternate gait

Q: Which method is most appropriate for the nurse to use when teaching a client to walk with a cane? 1. Holding the cane on the stronger side of the body and moving the cane forward, then moving the weak leg forward 2. Holding the cane on the weaker side and moving the weak leg forward, then following with the cane 3. Holding the cane on the stronger side, stepping forward with the weak leg, and then moving the cane forward as the stronger leg moves forward 4. Holding the cane on the weaker side, stepping forward with the weak leg, and then moving the cane forward as the stronger leg moves forward

Q: The nurse is ambulating with a client who is moderately weak. Which action by the nurse is appropriate when applying support? 1. Grasp the gait belt firmly at the back 2. Wrapping the arm closest to the client around the client's waist 3. Holding on to the client's waistband located on the robe 4. Holding the client under the axilla

Q: The nurse is planning to delegate ambulation of a client to the unlicensed assistive personnel (UAP). In order to provide proper instructions to the UAP, which action by the nurse is the most appropriate? 1. Ambulating the client first and then having the UAP ambulate the client 2. Quizzing the UAP to assure appropriate understanding of how to ambulate the client 3. Assessing the client's ability to ambulate 4. Observing the client ambulating

Q: While walking in the hall a 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 go find assistance 4. Assisting the client to a horizontal position on the floor if no chair is available

Q: The client is recovering from a fractured left femur, and has just had the cast removed. Which technique is the most appropriate for the nurse to use when assisting this client to ambulate? 1. Standing on the client's left side 2. Standing on the client's right side 3. Standing behind the client and holding the client's belt 4. Standing in front of the client and having the client lean on the nurse's shoulders

Q: The nurse is caring for a client who has an order for Lofstrand crutches to assist with mobility. The client asks what the crutch looks like. Which description of the crutch by the nurse is the most accurate? 1. It rests just under the axilla with a hand bar. 2. It has a cuff for the upper arm. 3. It extends to the forearm and has a metal cuff around the forearm to stabilize the wrist. 4. It has a rubber tip to prevent slippage on a floor surface.