During review of admission data, the nurse learns that the new client

During review of admission data, the nurse learns that the new client has impairment of kinesthetic sensation. Which nursing intervention should be planned for this client?

1. Use the clock face as a format for describing the position of food on meal trays.
2. Provide all teaching materials in very large font.
3. Ensure that the client has assistance when ambulating.
4. Use only nonirritating soaps for bathing.

 

ANSWER

Correct Answer: 3
Rationale 1: This would be appropriate for the client with an alteration in vision.
Rationale 2: This would be appropriate for the client with an alteration in vision.
Rationale 3: Kinesthetic sensation refers to the awareness of the position and movement of body parts. The client with impairment of this sensation may be prone to injury by falling and should be assisted when ambulating.
Rationale 4: This intervention would be appropriate for a client having a tactile or skin disorder.

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