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Difficulty: MediumSelf-Care

A practical nurse is assisting multiple clients with their morning routines on a medical-surgical unit. Which action by the nurse best promotes safe, independent self-care while remaining within the practical nursing scope of practice?

  1. Applying a universal cuff to the hand of a client with grip weakness and providing verbal cues while they feed themselves.Answer
  2. B
    Explaining to family that an elderly client's abrupt onset of disorientation while getting dressed is an expected age-related change.
  3. C
    Instructing an unlicensed assistive personnel (UAP) to conduct the initial admission evaluation of a client's ability to safely use a bedside commode.
  4. D
    Providing a standard pureed meal tray for a client with chewing difficulties without verifying the client's specific religious dietary accommodations.

Answer

Applying a universal cuff to the hand of a client with grip weakness and providing verbal cues while they feed themselves.
Applying adaptive equipment such as a universal cuff allows a client with physical limitations to perform feeding tasks independently. This aligns perfectly with the practical nurse's role in health promotion, maintaining client dignity, and preventing the loss of functional abilities during hospitalization.

Step-by-Step Solution

1
Analyze the nursing scope of practice regarding self-care.
The practical nurse reinforces teaching and assists with adaptive devices to maximize independence.
Maintaining independence prevents functional decline and promotes dignity.
2
Evaluate each option for safety and clinical appropriateness.
Only the use of the universal cuff correctly promotes independence safely.
Other options involve unsafe clinical assumptions, out-of-scope delegation, or culturally incompetent care.

Key Concept

Promoting independence in Activities of Daily Living (ADLs) using adaptive equipment.
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Topics

Self-Care

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