CASAL 1 OA Remediation- Questions with Complete Solutions
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Course
CASAL
Institution
CASAL
Rationale
The client has neutropenia and is at risk for infection. A reverse isolation, positive pressure
room is teh best choice for these clients. Cut flowers and live plants, along with fruits and
vegetables have been shown to carry organisms that could cause harm to the immunocompromised ...
CASAL 1 OA Remediation- Questions with Complete
Solutions
What nursing interventions should be implemented for a client whose absolute neutrophil
count (ANC) is below 500?
Admit to a reverse isolation room.
Begin bleeding precaution protocol.
Caution against any cut flowers in client's room.
Screen and limit individuals wishing to visit.
Provide only fresh organic fruits and vegetables. Correct Ans-Admit to a reverse isolation
room.
Caution against any cut flowers in client's room.
Screen and limit individuals wishing to visit.
, CASAL 1 OA Remediation- Questions with Complete
Solutions
Rationale
The client has neutropenia and is at risk for infection. A reverse isolation, positive pressure
room is teh best choice for these clients. Cut flowers and live plants, along with fruits and
vegetables have been shown to carry organisms that could cause harm to the immuno-
compromised client. Visitors of these clients need to be limited and screen for possible signs
of infection which could be lethal to an immuno-compromised client.
Which risk factor would the nurse identify as the most significant indicator for increased risk
for patient falls?
A client with prior history of falling.
A client with visual and hearing impairment.
A client who grabs onto furniture as an ambulatory aid.
, CASAL 1 OA Remediation- Questions with Complete
Solutions
A client experiencing urinary incontinence and urgency. Correct Ans-A client who grabs
onto furniture as an ambulatory aid.
Rationale
All options are indicators, but according to the Morse Fall Scale Assessment a client who uses
furniture as an ambulatory aid is rated as "30" points versus prior history of falls is rated as
"25 points".
What should the nurse do to demonstrate proper body mechanics when assisting a client to a
standing position from a sitting position? (Select all that apply.)
Rock their own body weight as they pull the client up towards them.
Keep their own knees locked as they lift the client in a smooth motion.
Stand in front of the client, move their own feet apart and bend at the knees.
, CASAL 1 OA Remediation- Questions with Complete
Solutions
While standing behind the client, secure their own arms around the client's chest and lift
upward.
Assess the client and determine whether or not another care provider is needed to assist.
Correct Ans-Rock their own body weight as they pull the client up towards them.
Stand in front of the client, move their own feet apart and bend at the knees.
Assess the client and determine whether or not another care provider is needed to assist.
Rationale
Pulling is easier than lifting and the momentum by rocking the nurse's body uses that body
weight to enhance the force of arm muscles. Moving feet apart widens the base of support
and bending knees lowers the center of gravity. These actions are elements of safe body
mechanics. When possible, use teams to lift clients ast is decreases the incidences of lower
back injuries in healthcare workers and is safer for the client.
Which questions are best for the nurse ask to assess for "disuse syndrome" in clients diagnose
with neuromuscular diseases such as muscular dystrophy or multiple sclerosis? (Select all that
apply.)
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