A nurse is performing a home safety assessment for a client who had a stroke

A nurse is performing a home safety assessment for a client who had a stroke. The provider recommends an extracranial-intracranial bypass, but the client tells the nurse that he will not have the surgery. " Which of the following actions should the nurse take? A nurse is performing a home safety assessment for a client who has experienced a stroke. Bell palsy C. The nurse, noting multiple threadlike lines, both straight and wavy, beneath the skin, recognizes the presence of scabies. the client stores cleaning supplies in a locked cabinet above his head Study with Quizlet and memorize flashcards containing terms like A nursing is caring for a client who has aphasia following a stroke. Based on the assessment data, the major nursing diagnoses for a patient with stroke may include the following: Impaired physical mobility related to hemiparesis, loss of balance and coordination, spasticity, and brain injury. Leave the client to get help. Aug 22, 2024 · A nurse is performing a home safety assessment for a client who has experienced a stroke. What should the nurse tell the client to avoid while monitoring is in progress? Select all that apply 1. Which of the following questions assess the quality of the clients pain?, a nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following findings should the nurse identify as a safety hazard? a. Aug 17, 2023 · A neurological exam is performed to ascertain stroke location, establish baseline function upon hospital admission, rule out a transient ischemic attack (TIA) and other stroke mimickers, and deduce potential comorbidities. develop a plan of Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a military veteran who reports frequent headaches. b) Erase the original order and Study with Quizlet and memorize flashcards containing terms like A home health nurse is performing a home assessment for safety. What will the home care nurse need to assess during the initial assessment? a. Assess clients who live in a long-term care facility Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse is performing an admission assessment for an older adult client. A thorough history and assessment will help the health care team to determine what type of stroke the client may have experienced along with the severity of symptoms. The client is being discharged home with a referral for home health care. Which of the following actions should the nurse take? a. The nurse dictates the plan that prescribes strategies of care Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is recovering from a stroke. The nursing assistant has settled the client in the room and oriented the client to the surroundings, call system, bathroom, bedside supplies, and where to place clothes. C. Full-thickness skin loss 3. The client identifies the location of a fire extinguisher. Determine baseline presentation. Develop a Plan of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an impairment of Cranial Nerve II. B. Refer the client to a social worker. Place the client in the prone position. Dim lighting installed throughout the house. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status? a. Nursing Diagnosis. Monitor the client's calf for edema d. Depression D. Conduct a client care conference C. Which of the following findings are a safety hazards for the client? a) Dim lighting installed throughout the house. Hold the client's arms and legs still. Updating the home safety sheet 2 A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following responses by the nurse is appropriate? "Incorporate nonverbal cues in the conversation. Which of the following actions should the nurse take? A. On assessment, the nurse notes that the client's wound has eviscerated. Initially, the nurse should ask the client to take which action?, The nurse is assessing a client with a history of cardiac problems. The nurse note that the stairs in the client's home are in disrepair and pose a safety risk. bathtub with rails B. Which of the following findings indicates an understanding of home safety? a) an extension cord is secured under a rug b) the edges of stairs are marked with brightly colored tape c) a toaster is plugged in when not in use d) the water A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. " Which action should the nurse take first?, A client is admitted to the health care facility with active tuberculosis (TB). throw rugs The staff nurse reviews the nursing documentation in a client's chart and notes that the would care nurse has documented that the client has a stage 2 pressure injury in the sacral area. " Which of the following actions should the nurse take? A. Palpate the femoral pulse c. What is the only ethical and responsible solution for the nurse? a) Call the physician and ask for a verbal order to clarify the dosage. The client stores an extra oxygen tank on its side under their The nurse is observing a student who is using a safety razor to shave a client. Which of the following observations should the nurse identify as proper safety protocol?-The client uses a wool blanket on their bed. Measure the circumference of the thigh b. Which of the following actions should the nurse perform to promote the client's safety? a. Had a very mild stroke b. Study with Quizlet and memorize flashcards containing terms like For a client who has had a stroke, which nursing intervention can help prevent contractures in the lower legs?, When describing the role of the various members of the rehabilitation team, which member would the nurse identify as the one who determines the final outcome of the process?, A nurse is reviewing a patient's laboratory Study with Quizlet and memorize flashcards containing terms like A nurse caring for an 8-month-old infant diagnosed with respiratory syncytial virus is unable to read a medication dosage written in the infant's medical record. 1. Which of the following findings are a safety hazards for the client? A. Advocate for funding to support local rehabilitation services. Performing daily exercises 3. The nurse makes a referral to a home health nurse because of an awareness of what common client response to a change in body image ? A. Provide support to the spouse caregiver. A family member asks the nurse how she should communicate with the client. C) Place a pillow in the axilla when there A client has had a total knee replacement and will need to walk with crutches for six weeks. Exposed bone, tendon, or This client is admitted walking and is here for a cardiac workup; the client is assigned to the nurse. Costs of the visits Provide ample time for the client to chew and swallow, The nurse is caring for a client with a diagnosis of right (non-dominant) hemispheric stroke. Romberg B. After gathering the assessment data and performing the review of systems, which of the following actions is a priority for the nurse? A. A nurse is performing a home safety assessment for a client who has experienced a stroke. 6,7 This effect could be attributed to staff expertise, better diagnostic procedures, high-quality nursing care A nurse is performing a neurological assessment of a client. Which of the following findings are a safety hazards for the client? Question: FLAG A nurse is performing a home safety assessment for a client who had a stroke. The client states, "This is how I know what item I am holding. Which of the following statements should the nurse identify as an indication that the client understands the instructions? The nurse is providing teaching for a client who is being scheduled for outpatient 24 hour electrocardiogram monitoring using a Holter monitor. " What impairment is this client likely experiencing?, A client with a left hemispheric stroke is A nurse is caring for an older client who has had a hemorrhagic stroke. Which priority concern will require Study with Quizlet and memorize flashcards containing terms like A nurse who is considering the possibility of becoming involved in home care asks a home care nurse about the characteristics needed for this practice area. Initiate Study with Quizlet and memorize flashcards containing terms like Which of the following areas should the technique of palpation be used as part of the assessment?, A nurse is performing a head-to-toe assessment on a client and notes a lump on the anterior portion of their neck. Disassociation Answer: A Completing a fall assessment will enable the nurse to identify and correct the risk factors for this patient. The client exhibits left-side deficits, memory deficits, and emotional breakdowns coupled with aggressive behaviors. Nurses also advocate for patients and their caregivers to ensure they receive appropriate The nurse is discharging home a client who had a stroke . c. Which of the following observations should the nurse identify as proper safety protocol? The client uses no acetone nail polish remover. The hot water heater is set at 54ºC (130º F). Place a towel under the client's head. Study with Quizlet and memorize flashcards containing terms like The nurse is performing her morning assessment when the client says, "I had trouble sleeping last night. Study with Quizlet and memorize flashcards containing terms like a nurse is assessing a client who reports increased pain following physical therapy. The nurse should include which intervention in the plan of care?, A client hospitalized with pneumonia Nov 10, 2023 · Final answer: The nurse should refer the client to a social worker who can help connect them with resources for home repairs. Which of the following actions should the nurse take? (Select all that apply. b. Based on these assessment findings, what nursing action is most important for the nurse to implement?, The home health nurse visits an elderly female client who had a stroke three months ago and is now able to ambulate with the assistance of a quad cane. The client has a flaccid right arm and leg and is experiencing urinary incontinence . review medical prescriptions. Addressing these hazards is crucial to creating a safe living Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who reports feeling a pop after coughing without properly splinting an abdominal incision. Frontal lobe 2. Which assessment finding has the greatest implications for this client's care? and more. which of the findings are a safety hazard-dim lightening installed throughout the house - the hot water is set to 130-medications are stored in a clear bag-grab bars are installed in the bathroom-area rugs are placed in the living room A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Remind the Mar 11, 2021 · DALLAS, March 11, 2021 — As integral members of stroke treatment teams, nurses coordinate patient assessment and collaborate care among multiple health care professionals to facilitate the best possible outcomes for patients with acute ischemic stroke. Begin processes to obtain a wheelchair. orient the client to his room. Closed-end questions are key to a neurologic assessment as the client may not be able to answer more than “yes” or “no”. which of the following observations should the nurse identify as proper The nurse is performing a musculoskeletal assessment of a client in a nursing home who had a stroke 2 years ago and who has right-sided hemiplegia. A nurse is performing a skin assessment on a client who has a A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Feb 18, 2022 · Ineffective Cerebral Tissue Perfusion Assessment. d) Grab bars are installed in the bathroom. Confusion B. Intact skin 2. Explanation: If a nurse is performing a home safety assessment for a client who had a stroke and notes that the stairs pose a safety risk, and the client states that they cannot afford to have the stairs repaired, the nurse should refer the client to a social worker. Which action would require intervention by the nurse? A. Study with Quizlet and memorize flashcards containing terms like The nurse is providing care for a client admitted with a diagnosis of cerebrovascular accident. Traumatic brain injury D. Electric cords behind the furniture C. The nurse notes that the stairs in the client's home are in disrepair and pose a safety risk. On the basis of these assessment findings, the nurse should make which interpretation? a. The client has exhibited impulsive behavior and, despite reminders from the nurse, doesn't recognize his limitations. Which of the following observations should the nurse identify as proper protocol. the client used tacks to secure the carpet on the stairs. The nurse collects comprehensive data pertinent to the client's health or situation. Just before leaving the home, the nurse ensures that which intervention has been done to prevent an episode of autonomic dysreflexia (hyperreflexia)? 1. Taking a shower or bath 2. Teach about preventing hypoglycemia. Which of the following precautions should the nurse institute before completing the assessment of the client? Study with Quizlet and memorize flashcards containing terms like A nurse is performing a community assessment and discovers the need for interventions to address tertiary prevention of mental health issues. The nurse should identify that passive range of motion is performed to increase which of the following?, A friend of a client comes to visit in the hospital and asks the nurse about the client's diagnosis. The client looks at each piece of clothing before putting it on the body. Instruct the client to A nurse is caring for a client who had a stroke and reports having difficulty with proprioception. Medications are stored in a clear bag. " "Ask multiple choice questions as part of the conversation. Home environment b. instruct the client to use lukewarm water Aug 28, 2023 · The initial nursing assessment, the first step in the five steps of the nursing process, involves the systematic and continuous collection of data; sorting, analyzing, and organizing that data; and the documentation and communication of the data collected. The nurse should identify that this finding can indicate which of the following conditions?, A nurse is caring for a Study with Quizlet and memorize flashcards containing terms like A patient has had an ischemic stroke and has been admitted to the medical unit. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is experiencing a seizure. c) Medications are stored in a clear bag. Which comment by the patient will cause the nurse to follow up?, The nurse is caring for an older-adult patient admitted with nausea, vomiting, and diarrhea due to food poisoning. Which of the following findings should the nurse identify as a safety risk for the client? (Select all that apply) A. Which of the following would the home care nurse be least likely to include? Nonjudgmental attitude Need for control over a situation Ability to improvise Respect for client Study with Quizlet and memorize flashcards containing terms like A nurse is performing passive range of motion on a client who had a stroke. For which neurologic health problem is the client most at risk? A. Disassociation The nurse is performing a functional assessment on an 82-year-old patient with a recent stroke. -The client identifies the location of a fire extinguisher. E. Orient the client to his room B. Which priority measure should the nurse implement to prevent injury? A nurse is performing a home safety assessment for a client who had a stroke. The nurse makes a referral to a home health nurse because of an awareness of what common client response to a change in body image? A. " "Use a higher a nurse is performing a home safety assessment for a client who has experienced a stroke. Which assessment finding would lead the nurse to act immediately Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with conducting a home hazard assessment for a client who has dementia. Avoid Aug 9, 2024 · The top educational needs identified by stroke survivors in a review of 21 studies were information and education on the stroke signs, symptoms, and prevention, treatment modalities and medications, stroke recovery and return to work, causes of stroke, and providing physical care to the stroke survivor, including transfers, lifting, and . Which of the following interventions should the nurse implement? A. washing the skin with soap and water prior to shaving B. ensure the client receives a soft diet. The client states, "I cannot afford to have the stairs repaired. conduct a client care conference. D. Which of the following questions would be most important to ask Study with Quizlet and memorize flashcards containing terms like Which assessment finding indicates that a client has had a stroke? Select all that apply Lopsided smile Unilateral vision Incoherent speech Unable to raise right arm Symptoms started 2 hours ago, Which behavior would the nurse include when teaching a family what to expect from a client who experienced a stroke on the left side of Study with Quizlet and memorize flashcards containing terms like A nurse is performing an admission assessment for an older adult client. ) A. provide an obstacle free path for ambulation d. Where should the nurse place the stethoscope to hear the first heart sound (S1) the loudest?, The nurse is A home health nurse is performing an assessment of a client's skin. Kinesthetic Sensation C. The nurse completes the health history. Critical thinking skills applied during the nursing process provide a decision-making framework to develop and guide a plan of care for the Mar 11, 2021 · Patients who have had a stroke and receive organized inpatient care in a stroke unit from an interprofessional team who specialize in stroke management are more likely to be alive, independent, and living at home 1 year after stroke. raised toilet seats D. Assistance of neighbors d. b) The hot water heater is set at 54ºC (130º F). Parietal lobe 3 A nurse is reinforcing teaching about home safety for a client who has a history of falls. Nursing Interventions for Stroke. What action should the nurse perform to best prevent joint deformities? A) Place the patient in the prone position for 30 minutes/day. Uncertainty C. The nurse note the stars in the client's home are in disrepair and pose a safety risk. To promote safety during the examination, the nurse stands nearby as the client follows the instructions for which of the following tests? A. The client has a flaccid right arm and leg and is experiencing urinary incontinence. limit seizure precautions b. Brain cancer B. The priority nursing action is to: The American Nurses Association (ANA) Standards of Professional Nursing Practice provides standard of care for all nurses. 2 Point Discrimination D. Grab bars are installed in the bathroom. The nurse notes that the girth of the client's right calf is 2 inches less in diameter than the left calf. Based on patient information shown in the accompanying figure, which action would the nurse take? a. Inform the client of the consequences of decreased cerebral circulation B. Review medical prescriptions D. , A nurse is performing a home safety assessment for a May 10, 2024 · Continue focusing nursing assessment on impairment of function in patient’s daily activities. Study with Quizlet and memorize flashcards containing terms like A nurse is assisting a client who had a recent stroke with getting dressed for physical therapy. Study with Quizlet and memorize flashcards containing terms like The home care nurse is making a visit to a client who requires use of a wheelchair after a spinal cord injury sustained 4 months earlier. The client uses a wool blanket on their bed. Which finding would the nurse expect to note on assessment of the client's sacral area? 1. Stroke, A client has just returned from having cerebral angiography. Study with Quizlet and memorize flashcards containing terms like A patient has had an ischemic stroke and has been admitted to the medical unit. Working around high voltage equipment 4. water heater temperature 130F E. Carefully reinsert the intestine through the opening in A home health nurse is performing a safety assessment for a client's home. Weber Which action by the nurse best represents the evaluative portion of the nursing process? determining that a client is at risk for a fall while in the hospital assessing a client's blood pressure after teaching stress reduction techniques assessing a client's blood pressure after giving a cup of coffee educating a client on how to take one's own The nurse is discharging home a client who had a stroke. d. C) Place a pillow in the axilla when there Study with Quizlet and memorize flashcards containing terms like The nurse in a health care clinic is preparing to test a client for accommodation. rinsing the razor after each stroke of the razor D. When assessing for a possible stroke it is vital to know the last time the client was “well” or at their baseline level of functioning before exhibiting symptoms. " Which of the following actions should the nurse take? Refer the client to a social worker. B) Assist the patient in acutely flexing the thigh to promote movement. -Side rails have not been found to be effective in keeping a client in bed and may actually lead to injury-Maintaining a patient on bed rest can lead to deconditioning and actually contribute to falls-Assessing the client's dietary intake of calcium is a good intervention for A home health nurse is conducting a home safety assessment for an older adult client. A nurse is performing a home safety assessment for a client who had a stroke. The nurse notes that the client is alert and oriented to time and place. Which area does the nurse identify as being affected based on assessment findings? 1. applying direct pressure to an area that Study with Quizlet and memorize flashcards containing terms like The home health nurse is caring for an 81-yr-old patient who had a stroke 2 months ago. pulling the razor against the direction of hair growth C. Which statement on the assessment of the nursing process is accurate? A. Previous health status c. A nurse is performing a home safety assessment for a client who had a stroke. Which of the following actions should the nurse take? The initial nursing assessment of the patient with stroke after admission to the hospital should include evaluating the patient’s vital signs, particularly oxygen saturation, BP, and temperature, in addition to measuring blood glucose and performing a bedside dysphagia screen/ assessment. jukp syhkv auxa iccdc naqf lbcbpse ioeddt coy apk ykf