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Zorluk: KolayBasic Care and Comfort

A client with left-sided hemiparesis following a stroke is receiving assistance with morning activities. Which actions demonstrate correct principles of basic care, comfort, and mobility for this client? Select all that apply.

  1. Positioning a wheelchair on the client's right, unaffected side prior to initiating a bed-to-chair transferCevap
  2. B
    Assigning the unlicensed assistive personnel to perform the initial morning evaluation of the client's skin condition
  3. Instructing the client to use their functional right arm to assist with washing their face and torsoCevap
  4. D
    Laying the client completely flat in bed immediately after consuming breakfast to facilitate relaxation
  5. Using a gait belt securely fastened around the client's waist when assisting with ambulation to the bathroomCevap
  6. F
    Moving the client toward the head of the bed by pulling firmly on their weakened left shoulder

Cevap

The correct actions include positioning the wheelchair on the unaffected side, encouraging the use of the functional arm for self-care, and using a gait belt during ambulation.
The correct interventions prioritize client safety, promote independence, and utilize standard precautions. Transferring toward the strong side leverages the client's functional ability, encouraging self-care maintains mobility, and using a gait belt prevents falls during ambulation without risking joint damage.

Adım Adım Çözüm

1
Analyze the client's specific physical limitations based on the clinical scenario.
The client has left-sided weakness, meaning the right side remains strong and functional.
Understanding the precise neurological deficit is essential for planning safe mobility and hygiene care.
2
Evaluate the proposed positioning and transfer techniques against safety standards.
Transfers must occur toward the strong side to utilize the client's weight-bearing ability, and pulling on weak limbs must be strictly avoided to prevent joint subluxation.
Proper body mechanics and joint protection are core components of basic care and mobility assistance.
3
Assess the delegation and post-meal care tasks for appropriateness.
Clinical assessments cannot be delegated to unlicensed staff, and the head of the bed must remain elevated after eating.
Ensuring safe delegation within the scope of practice and adhering to aspiration precautions are vital nursing responsibilities.

Anahtar Kavram

Promoting independence and maintaining safety during mobility, hygiene, and nutrition for a client with unilateral weakness.
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Konular

Basic Care and Comfort

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