Fundamentals B - ATI Practice
A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as an indication that the client understands the use of this assistive device? a. "This type of hearing aid does not allow for fine tuning of volume." b. "I shouldn't have trouble keeping the hearing aid in place during exercise." c. "I expect to hear a whistling sound when I first insert the hearing aid." d. "I will be sure to remove my hearing aid before taking a shower."
"I will be sure to remove my hearing aid before taking a shower."
A nurse is providing discharge instructions to a client who will be using a walker. Which of the following statements by the client indicates the teaching has been effective? a. "I will use an extension cord so I can watch television in the living room." b. "I will hire someone to trim the tree that overhangs the front porch stairs." c. "I will place my alarm clock on my bedroom dresser." d. "I will replace the old throw rug in the kitchen with a new one."
"I will hire someone to trim the tree that overhangs the front porch stairs."
A nurse is providing teaching to a client who is on protective isolation precautions. Which of the following client statements indicates an understanding of the teaching? a. "I can shower up to three times a week." b. "I will inform my friends and family to visit when I'm feeling well." c. "I can take a plane to visit my grandchildren." d. "I will wear a face mask when leaving my hospital room."
"I will wear a face mask when leaving my hospital room."
A client demonstrates anger when the nurse does not respond within 5 min of ringing for the nurse. Which of the following is an appropriate response by the nurse? a. "I'm sorry, but another client needed my attention." b. "I could not arrive any sooner. What can I do for you?" c. "We had an emergency on the unit and that was a priority, but now I'm here." d. "That must be frustrating for you. How can I help you right now?"
"That must be frustrating for you. How can I help you right now?"
A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? a. "I'm having mild pain." b. "The pain is like a dull ache in my stomach." c. "I notice that the pain gets worse after I eat." d. "The pain makes me feel nauseous."
"The pain is like a dull ache in my stomach."
A nurse is caring for a client who asks about the purpose of advance directives. Which of the following statements should the nurse make? a. "They allow the court to overrule an adult client's refusal of medical treatment." b. "They indicate the form of treatment a client is willing to accept in the event of a serious illness." c. "They permit a client to withhold medical information from health care personnel." d. "They allow health care personnel in the emergency department to stabilize a client's condition."
"They indicate the form of treatment a client is willing to accept in the event of a serious illness."
A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, "What would happen if I arrived at the emergency department and I had difficulty breathing?" Which of the following responses should the nurse make? a. "We would consult the person appointed by your health care proxy to make decisions." b. "We would give you oxygen through a tube in your nose." c. "You would be unable to change your previous wishes about your care." d. "We would insert a breathing tube while we evaluate your condition."
"We would give you oxygen through a tube in your nose."
A nurse is caring for a client who has terminal liver cancer. Which of the following statements should the nurse identify as an indication that the client is experiencing spiritual distress? A. "What could I have done to deserve this illness?" B. "I blame medical science for not curing me." C. "Where is my daughter at a time like this?" D. "Will I ever begin to feel in charge of my life again?"
"What could I have done to deserve this illness?"
A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have a routine screening. What does that involve?" Which of the following responses should the nurse make? a. "I'll get a blood sample from you and send it for a screening test." b. "Beginning at age 60, you should have a colonoscopy." c. "You should have a fecal occult blood test every year." d. "The recommendation is to have a sigmoidoscopy every 10 years."
"You should have a fecal occult blood test every year."
A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. determine the correct order of steps for this procedure 1.inject 5 units of air into the bottle of regular insulin 2. inject 10 units of air into the bottle of regular insulin 3.withdraw the correct dose of regular insulin from the bottle 4. withdraw the correct dose of nph insulin from the bottle
2, 1, 3, 4
A nurse is preparing a heparin infusion for a client who was admitted to the facility with DVT. The presciption reads:25,000 units of heparin in 0.9% sodium cloride 250ml to infuse at 800 units/hr. At what rate should the nurse set the infistion pump?
8 mL/hr
A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following should the nurse plan to document on the client's intake and output record as 120 mL of fluid? a. 2 cups of soup b. 1 quart of water c. 8 oz of ice chips d. 6 oz of tea
8 oz of ice chips
A nurse is caring for a group of clients on a medical-surgical unit. In which of the following situations does the nurse demonstrate the ethical principle of veracity? A. A client who is unaware of her recent cancer diagnosis ask the nurse if she has cancer, and the nurse responds affirmatively B. A client who has a prescription for a NG tube refuses it, and the nurse complies with the client's wishes C. A client who has a DNR order has a cardiac arrest, and the nurse does not perform CPR despite requests from the client's family D. A client who is about to undergo a painful procedure receives pain medicaiton 30 mins before the procedure that the nurse previously promised to adminster
A client who is unaware of her recent cancer diagnosis ask the nurse if she has cancer, and the nurse responds affirmatively
A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy? a. A lesion with uniform pigmentation b. New appearance of petechiae c. A mole with an asymmetrical appearance d. The presence of a papule
A mole with an asymmetrical appearance
A nurse is providing discharge teaching to a client about self-administering heparin. Which of the following instructions should the nurse include in the teaching? a. Insert the needle at a 15° angle. b. Aspirate for blood return prior to administration. c. Administer the medication into the abdomen. d. Massage the site following the injection.
Administer the medication into the abdomen.
A nurse is caring for a client who has decreased mobility. Which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractures? a. Place a pillow under the client's knees. b. Position a trochanter roll under each of the client's hips. c. Advise the client to wear rubber-soled slippers. d. Apply an ankle-foot orthotic device to the client's feet.
Apply an ankle-foot orthotic device to the client's feet.
A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. The nurse is assessing the client. Which of the following actions should the nurse take? Select all that apply. Nurses' Notes Day 1: Lactated Ringer's at 100 mL/hr infusing into a 20-gauge IV catheter in left hand. IV dressing dry and intact. IV site without redness or swelling. IV fluid infusing well. Day 2: IV site edematous. Skin surrounding catheter site taut, blanched, and cool to touch. IV fluid not infusing. A. Start a new IV in the client's left hand. B. Place a pressure dressing over the IV site. C. Apply heat to the client's left hand. D. Elevate the client's left arm. E. Stop the IV infusion.
Apply heat to the client's left hand. Elevate the client's left arm. Stop the IV infusion.
A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client? a. Insert the suction catheter while the client is swallowing. b. Apply intermittent suction when withdrawing the catheter. c. Place the catheter in a location that is clean and dry for later use. d. Hold the suction catheter with their clean, nondominant hand.
Apply intermittent suction when withdrawing the catheter.
A nurse is preparing to insert an IV catheter into a client's arm prior to initiating IV fluid therapy. Which of the following interventions should the nurse implement to prevent infection? a. Apply transparent dressing over the IV insertion site and securement device. b. Shave excess hair from around the IV insertion site. c. Cleanse the site with hydrogen peroxide before IV catheter insertion. d. Palpate the site carefully just before inserting the IV catheter.
Apply transparent dressing over the IV insertion site and securement device.
A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. After securing a safe environment, which of the following actions should the nurse take next? A. Rock the client up to a standing position. B. Pivot on the foot that is the farthest from the chair. C. Assess the client for orthostatic hypotension. D. Apply a gait belt to the client.
Assess the client for orthostatic hypotension
A nurse in the emergency department (ED) is caring for a client who reports abdominal pain. Based on the client's clinical findings, which of the following actions should the nurse take? Select all that apply. a. Assist the client to a left side-lying position with the right knee flexed. b. Prepare the client for a chest x-ray. c. Administer a cleansing enema. d. Auscultate the client's bowel sounds. e. Perform a manual digital examination of the client's rectum. f. Administer oxycodone extended-release tablets. g. Prepare the client for NG tube placement.
Assist the client to a left side-lying position with the right knee flexed. Administer a cleansing enema. Auscultate the client's bowel sounds. Perform a manual digital examination of the client's rectum.
A nurse is administering IV fluids to a client. When monitoring for adverse effects, which of the following assessments should the nurse identify as the priority? a. Auscultate lung sounds. b. Measure urine output. c. Monitor blood pressure readings. d. Monitor electrolyte levels.
Auscultate lung sounds.
A nurse is caring for a client who has COPD. Select the 3 findings that require follow-up. Exhibit 1 Nurses' Notes 1000: Client admitted with a productive cough with thick yellow sputum. Breath sounds with crackles heard in left upper lobe and decreased breath sounds at bases bilaterally. a. Breath sounds b. Blood pressure c. Oxygen saturation d. Temperature e. Heart rate
Breath Sounds Oxygen saturation Temperature
A nurse is giving a change-of-shift report about a client they admitted earlier that day who has pneumonia. Which of the following pieces of information is the priority for the nurse to provide? A. Admitting diagnosis B. Breath sounds C. Body temperature D. Diagnostic test results
Breath sounds
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first? a. Check the client for injuries. b. Move hazardous objects away from the client. c. Notify the provider. d. Ask the client to describe how they felt prior to the fall.
Check the client for injuries.
A nurse is providing discharge teaching for a client who has a new prescription for a home oxygen concentrator. Which of the following instructions should the nurse provide to the client and their family? (Select all that apply.) a. Check the cord routinely for frays or tearing. b. Keep the unit at least 1.2 m (4 ft) away from a gas stove. c. Consider purchasing a generator for power backup. d. Observe for signs of hypoxia. e. Select synthetic clothing and bedding.
Check the cord routinely for frays or tearing. Consider purchasing a generator for power backup. Observe for signs of hypoxia.
A nurse is planning teaching for a client who has a new diagnosis of type 1 diabetes mellitus about insulin self-administration. Which of the following actions should the nurse take first? a. Encourage the client to include a support person in the teaching. b. Schedule a series of teaching sessions. c. Provide written directions for the client to use. d. Determine the client's learning style.
Determine the client's learning style.
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority? a. Request that a respiratory therapist discuss the technique for incentive spirometry with the client. b. Determine the reasons why the client is refusing to use the incentive spirometer. c. Document the client's refusal to participate in health restorative activities. d. Administer a pain medication to the client.
Determine the reasons why the client is refusing to use the incentive spirometer.
A nurse is assessing an adult client who has been immobile for the past 3 weeks. For which of the following findings should the nurse intervene? a. Erythema on pressure points b. Lower-extremity pulse strength of 2+ c. Fluid intake of 3,000 mL per day d. One bowel movement every other day
Erythema on pressure points
A nurse is caring for a client in a medical-surgical unit. Highlight which show an improvement in condition. Exhibit 1 History and Physical 3 days ago: Current diagnoses: type 2 diabetes mellitus Past medical history: left below-the-knee amputation 5 years ago. 0830: At client's beside for dressing change. S1 and S2 auscultated, rate 76/min. Respirations even and regular at 16/min. Negative pressure wound therapy dressing removed. Granulation tissue covers the wound bed. Slight erythema at wound edges. The surrounding tissue is warm to touch. No odor present. Pressure injury is 8.75 cm (3.5 in) in diameter and 2.5 cm (1 in) at the deepest point. Two tunnels measuring 5 cm (2 in) and 3 cm (1.2 in). Dressing reapplied and sealed, intermittent pressure setting at 125 mm Hg. Client reports pain as a 2 on a scale from 0 to 10, tolerated procedure well.
Granulation tissue covers the wound bed. No odor present. Pressure injury is 8.75 cm (3.5 in) in diameter and 2.5 cm (1 in) at the deepest point. Two tunnels measuring 5 cm (2 in) and 3 cm (1.2 in). Client reports pain as a 2 on a scale from 0 to 10, tolerated procedure well.
A nurse is performing a Romberg test during the physical assessment of a client. Which is the following techniques should the nurse use? A. Touch the face with cotton ball B. Apply a vibrating tuning fork to the clients forehead C. Have the client stand with their arms at their sides and their feet together D. Perform direct percussion over the area of the kidneys.
Have the client stand with their arms at their sides and their feet together
A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take? a. Assist the client into a prone position. b. Place a sleeve over the top of each leg with the opening at the knee. c. Make sure two fingers can fit under the sleeves. d. Set the ankle pressure at 65 mm Hg.
Make sure two fingers can fit under the sleeves.
A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth everyday". Which of the following components of the prescription should the nurse verify with the provider? A. medication name B. Route of administration C. Medication Dose D. Frequency of administration
Medication Dose
A nurse is caring for a client who had a spinal cord injury and has paraplegia. Exhibit 1 Nurses' Notes Day 1: Client is alert and oriented.Client is repositioned every 2 hr.Passive range-of-motion exercises to lower extremities performed once each day.Day 5: Client is alert and oriented.Client is repositioned every 2 hr. Passive range-of-motion exercises to lower extremities performed once each day.Feet warm. Pedal pulses 2+ bilaterally.Plantar flexion contractures noted bilaterally.Left heel with 1.3 cm x 1.3 cm (0.5 in x 0.5 in) area of nonblanchable erythema, skin intact. The nurse is reviewing the client's medical record. Click to highlight the findings that require intervention by the nurse. Client is repositioned every 2 hr. Passive range-of-motion exercises to lower extremities performed once each day. Feet warm. Pedal pulses 2+ bilaterally. Plantar flexion contractures noted bilaterally. Left heel with 1.3
Passive range-of-motion exercises to lower extremities performed once each day. Plantar flexion contractures noted bilaterally. Left heel with 1.3 cm x 1.3 cm (0.5 in x 0.5 in) area of nonblanchable erythema, skin intact.
A nurse is caring for a group of clients. Which of the following actions should the nurse take to prevent the spread of infection? a. Carry a client's soiled linens out of the room in a mesh linen bag. b. Place a client who has tuberculosis in a room with negative-pressure airflow. c. Provide disposable plates and utensils for a client who is HIV-positive. d. Dispose of a client's blood-saturated dressing in a trash bag inside a second trash bag.
Place a client who has tuberculosis in a room with negative-pressure airflow.
FLAG A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take? a. Insert the catheter at a 45° angle. b. Place the client's arm in a dependent position. c. Shave excess hair from the insertion site. d. Initiate IV therapy in the veins of the hand.
Place the client's arm in a dependent position.
A nurse is planning teaching for a group of adolescents who each recently had surgical placement of an ostomy. Which of the following methods should the nurse use as a psychomotor approach to learning? a. Role play b. Group discussions c. Question-answer meetings d. Practice sessions
Practice sessions
A nurse is administering an otic medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear? a. Press gently on the tragus of the client's ear. b. Pack a small piece of cotton deep into the client's ear canal. c. Move the client's auricle down and back toward their head. d. Tilt the client's head backward for 5 min.
Press gently on the tragus of the client's ear.
A nurse is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety needs? (Select all that apply.) a. Lacrimal apparatus b. Pupil clarity c. Appearance of bulbar conjunctivae d. Visual fields e. Visual acuity
Pupil clarity Visual fields Visual acuity
A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include? a. Regulate the flow rate by aligning the rate with the top of the ball inside the flow meter. b. Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min. c. Make sure the reservoir bag of a partial rebreathing mask remains deflated. d. Use petroleum jelly to lubricate the client's nares, face, and lips.
Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min.
A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a new tracheostomy. Which of the following actions should the nurse plan to take? A. Use a resuscitation bag with 80% oxygen prior to the procedure. B. Select a suction catheter that is half the size of the lumen. C. Place the end of the suction catheter in water-soluble lubricant. D. Adjust the wall suction apparatus to a pressure of 170 mm Hg.
Select a suction catheter that is half the size of the lumen.
A nurse is caring for a client who is receiving fluid through a peripheral IV catheter. Which of the following findings at the IV site should the nurse identify as indicating infiltration? a. purulent exudate b. warmth c. skin blanching d. bleeding
Skin blanching
A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. Which of the following findings should the nurse identify as a potential indication of elder abuse? a. The caregiver is the client's financial power of attorney. b. The client is in a wheelchair with the wheels locked. c. The client reports receiving a full bath twice each week. d. The caregiver insists on remaining in the room.
The caregiver insists on remaining in the room.
A nurse is caring for a client who is receiving a unit of packed RBCs. Complete the following sentence by using the list of options. Exhibit 1 Vital Signs 0800: BP 112/64 mm HgHeart rate 80/minRespiratory rate 18/minTemperature 37.1° C (98.8° F)Oxygen saturation 97% on room air0815: BP 106/54 mm HgHeart rate 100/minRespiratory rate 22/minTemperature 37° C (98.6° F)Oxygen saturation 95% on room air
The client has manifestations of allergic reaction as evidenced by the client's itching
A nurse is caring for a female client. Complete the following sentence by using the lists of options. Exhibit 2 Diagnostic Results Week 1: Hct 42% (37% to 47%)Hgb 15 g/dL (12 to 16 g/dL)WBC count 8,000/mm3 (5,000 to 10,000/mm3)Platelet count 350,000/mm3 (150,000 to 400,000/mm3)Potassium 3.7 mEq/L (3.5 to 5 mEq/L)Week 2: Hct 37% (37% to 47%)Hgb 12 g/dL (12 to 16 g/dL)WBC count 6,000/mm3 (5,000 to 10,000/mm3)Platelet count 100,000/mm3 (150,000 to 400,000/mm3)Potassium 3.6 mEq/L (3.5 to 5 mEq/L)
The client is at risk for bleeding as evidenced by the client's platelet count.
A nurse in a medical-surgical unit is caring for six clients. Complete the following sentence by using the lists of options. Exhibit 1 Nurses' Notes 0800: Client 1: Client is admitted with a new diagnosis of rheumatoid arthritis. Client 2: Client has a history of hyperlipidemia. Atorvastatin 20 mg PO administered as prescribed. Client 3: Client is 1 day postoperative. Reports pain as 8 on a scale of 0 to 10. Morphine 5 mg subcutaneous administered as prescribed. Client 4: Client is admitted with a new diagnosis of heart failure. Client 5: Client has a stage 2 pressure injury on the left heel. Client 6: Client is admitted with a new diagnosis of diabetes mellitus.
The first client the nurse should assess is client 3 followed by client 4.
A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing change. Which of the following actions by the newly licensed nurse requires intervention by the charge nurse? a. The newly licensed nurse places the cap of a bottle of sterile saline solution on the sterile field. b. The newly licensed nurse places sterile objects 2.5 cm (1 in) within the border of the field. c. The newly licensed nurse holds the bottle of sterile saline outside the edge of the field when pouring. d. The sterile field is positioned at the level of the newly licensed nurse's waist.
The newly licensed nurse places the cap of a bottle of sterile saline solution on the sterile field.
A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury to the client? a. Use a bed exit alarm system. b. Raise four side rails while the client is in bed. c. Apply one soft wrist restraint. d. Dim the lights in the client's room.
Use a bed exit alarm system.
A nurse is planning strategies to manage time effectively for client care. Which of the following strategies should the nurse implement? a. Combine client care tasks when caring for multiple clients. b. Wait until the end of the shift to document client care. c. Use the planning step of the nursing process to prioritize client care delivery. d. Allow for interruptions in tasks to discuss client care issues with colleagues.
Use the planning step of the nursing process to prioritize client care delivery.
A nurse is teaching a client and their family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teaching? a. Remove the outer cannula cautiously for routine cleaning. b. Use tracheostomy covers when outdoors. c. Use sterile technique when performing tracheostomy care at home. d. Cleanse irritated skin with full-strength hydrogen peroxide.
Use tracheostomy covers when outdoors.
A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a program of regular physical activity. Which of the following types of activity should the nurse recommend? A. Walking briskly B. Riding a bicycle C. Performing isometric exercises D. Engaging in high-impact aerobics
Walking briskly
A nurse is admitting a client to a health care facility. The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply. Wear an N95 mask when caring for the client. Place a container for soiled linens inside the client's room. Place the client in a negative airflow room. Remove mask after exiting the client's room. Wear a sterile, water-resistant gown if within 3 feet of the client.
Wear an N95 mask when caring for the client. Place a container for soiled linens inside the client's room. Place the client in a negative airflow room. Remove mask after exiting the client's room.
A nursing is teaching a client whose left leg is in a cast about using crutches. Which of the following statements should the nurse identify as an indication that the client understands the teaching? A. When descending stairs, I will first shift my weight to my right leg. B. I should place my crutches 12 ins in front and to the side if each foot. C. As I sit down, I will hold one crutch in each hand D. I will make sure the shoulder rests are snug against my armpits.
When descending stairs, I will first shift my weight to my right leg.
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that his condition is a contraindication for which of the following therapies? a. biofeedback b. aloe c. feverfew d. acupuncture
acupuncture
A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of medication from a 2mL vial. Which of the following actions should the nurse take? a. ask another nurse to observe the medication wastage b. notify the pharmacy when wasting the medication c. lock the remaining medication in the controlled substances cabinet d. dispose of the vial with the remaining medication a sharps container
ask another nurse to observe the medication wastage
A nurse is caring for a client who is at risk for hypokalemia. Which of the following foods should be included in the client's diet? a. Cucumbers b. Corn c. Asparagus d. Avocados
avocados
A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take? a. wear sterile gloves when removing the old dressing b. warm the irrigation solution to 40.5(105 degrees farenheit) c. cleanse the wound from the center outward d. use a 20 mL syringe to irrigate the wound.
cleanse the wound from the center outward
A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube? a. position the client with the head of the bed elevated to 30 degrees prior to insertion of the NG tube b. remove the NG tube if the client begins to gag or choke c. apply suction to the NG tube prior to insertion d. have the client take sips of water to promote insertion of the NG tube into the esophagus
have the client take sips of water to promote insertion of the NG tube into the esophagus
A nurse is caring for a client who is expressing anger over the diagnosis of colorectal cancer. Which of the following actions should the nurse take? a. discuss the risk factors for colon cancer b. focus teaching on what the client will need to do in the future to manage his illness c. provide the client with written information about the phases of loss and grief d. reassure the client that this is an expected response to grief
reassure the client that this is an expected response to grief
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? a. the top of the cane is parallel to the client's waist b. when walking, the client moves the cane 46 cm forward c. the client holds the cane on the stronger side of her body d. the client moves her stronger limb forward with the cane
the client holds the cane on the stronger side of her body
