The nurse walks into a client’s room. The client is in supine position and the wife is stroking his hand. The client had a left-sided stroke 7 days ago, just took 30% of the dysphagic diet, and has an...



The nurse walks into a client’s room. The client is in supine position and the wife is stroking his hand. The client had a left-sided stroke 7 days ago, just took 30% of the dysphagic diet, and has an indwelling urinary catheter. Which nursing action is of priority for this client?



a. Raise the head of the bed.


b. Encourage the wife to talk softly to the client.


c. Remind the client to look and touch the affected side.


d. Assess the color and amount of output.


Rationale:



May 25, 2022
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