A certified nursing assistant (CNA) is assisting a patient into a wheelchair. The nurse intervenes if the CNA has:
left the patient with the lap robe tucked underneath.
left the brakes of the wheelchair unlocked.
placed the patient's feet centered on the footrests.
placed slippers on the patient.
The Correct Answer is B
A. Left the patient with the lap robe tucked underneath.
A lap robe is used for warmth and comfort; tucking it under does not pose a risk.
B. Left the brakes of the wheelchair unlocked.
Wheelchair brakes must be locked during transfers to prevent the chair from moving and causing a fall.
C. Placed the patient's feet centered on the footrests.
Feet should be properly placed to avoid dragging or injury.
D. Placed slippers on the patient.
This is appropriate as long as the slippers are non-skid, providing safe footing during transfer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Move body parts rapidly through the movements.
Rapid movement can cause injury and discomfort. Movements should be slow and smooth.
B. Support extremities above and below joints.
Supporting both above and below the joint ensures joint stability and prevents strain or injury during passive ROM.
C. Stretch the body part just beyond the existing range of motion.
Passive ROM should stay within the current range. Forcing motion can cause pain or injury.
D. Continue moving body parts if muscle spasticity occurs.
If spasticity occurs, movement should stop. Forcing motion through spasms can increase injury risk.
Correct Answer is ["B","E"]
Explanation
A. Using the spreader bar to turn the patient.
The spreader bar is not designed for lifting or turning; it maintains cast shape and stability.
B. Protecting the cast from soiling.
Soiling the cast can lead to skin irritation and infection, especially in the perineal area.
C. Grasping the cast over the leg to help in turning.
This can cause pressure points or cast damage; turning should be done using proper support techniques.
D. Easing itching under the cast by scratching with a bent coat hanger.
This is unsafe and can cause skin injury or infection under the cast.
E. Turning frequently to the prone position.
Frequent position changes, including prone if tolerated, help prevent pressure sores and promote circulation.
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