The staff nurse informed the nurse aide that Mrs. Wilson has a cold and is taking a medication that may affect her equilibrium. Which of the following precautionary measures is appropriate for Mrs. Wilson?
  1. Mrs. Wilson should move quickly when getting out of bed to avoid falling down.
  2. Mrs. Wilson should ambulate carefully to the restroom with assistance as needed.
  3. The nurse assistant should offer extra servings of meat or other protein to stabilize her balance.
  4. The nurse assistant should remind the nurse to offer Mrs. Wilson a multivitamin daily to build her red blood cell levels.
Explanation
Answer: B - Mrs. Wilson should ambulate carefully to the restroom with assistance as needed. Medications for colds can have side effects of drowsiness and sedation. The nurse aide has to ensure the safety of the client and prevent injuries. Choice A is incorrect because moving quickly does not guarantee safety; instead it may cause dizziness. In this particular scenario, the disturbance in the client’s equilibrium is not related to protein loss but rather a side effect of the drug that the client is taking for her cold, so choice C is incorrect. Nor is does the client have a low hemoglobin count (Choice D), as would be true of clients with anemic episodes.
Was this helpful? Upvote!
Login to contribute your own answer or details

Top questions

Related questions

Most popular on PracticeQuiz