Management of Care Q 1

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Which action(s) should you delegate to the experienced nursing assistant when caring for a patient with a thrombotic stroke with residual left-sided weakness? Select all that apply.

  

     A. Assist the patient to reposition every 2 hours.

     B. Reapply pneumatic compression boots.

     C. Remind the patient to perform active ROM.

     D. Check extremities for redness and edema.

    

    

Correct Answer: A, B, & C.

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The experienced nursing assistant would know how to reposition the patient and how to reapply compression boots and would remind the patient to perform activities he has been taught to perform.

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Option D: Assessing for redness and swelling (signs of deep venous thrombosis {DVT}) requires additional education and is still appropriate to the professional nurse.

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