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    Ati pn adult medical surgical 2023 proctored exam

    A nurse is reinforcing discharge teaching for a client who had a cerebrovascular accident (CVA) and requires assistance to perform their ADLS.“ Which of the following statements should the nurse provide?

    Explanation & Rationale

    A. "You will not become fatigued when you use assistive devices.": Using assistive devices helps with mobility and independence but does not eliminate fatigue, especially after a CVA. Clients should be advised that energy conservation and pacing activities are still important. B. "Plan to hire a home care aid to perform all of your ADLs.": Total reliance on a caregiver is unnecessary if the client can safely perform some ADLs with assistive devices. Encouraging independence supports rehabilitation and maintains function. C. "Install grab bars in your shower to assist with your balance.": Grab bars provide stable support, reducing the risk of falls during bathing. This is a recommended safety modification for clients with impaired mobility or balance following a CVA. D. "Place a towel in the shower to prevent slipping.": Placing a towel on the shower floor can increase the risk of tripping and falling. Safe modifications should include non-slip mats or grab bars rather than loose items.

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