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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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Ask the client if she has been out of bed today:

This gives some insight into activity level but doesn't objectively measure strength.

B. Ask the client to push her legs and feet against the nurse's palms:

This provides a direct, physical assessment of the client's lower extremity strength, which is essential before ambulation.

C. Check the client's pedal pulses and feet for edema:

These assessments are related to circulation, not muscular strength.

D. Ask the client how strong she feels today:

This is subjective and may not reflect actual muscle strength or ability to ambulate safely.

A. raise the head of the bed to 30 to 45 degrees. B. elevate the machine at the foot of the bed on one pillow. C. set the proper flexion and extension limits. D. keep the operated knee warm.

Correct Answer is C

Explanation

A. Raise the head of the bed to 30 to 45 degrees.

While head elevation for comfort is acceptable, it is not the primary responsibility for CPM care.

B. Elevate the machine at the foot of the bed on one pillow.

The CPM machine should lie flat along the bed frame. Elevation on a pillow can cause misalignment or malfunction.

C. Set the proper flexion and extension limits.

The nurse must confirm that the machine is set according to the provider's orders for proper range of motion and to prevent injury.

D. Keep the operated knee warm.

While comfort is important, this is not a priority of CPM machine care and doesn't directly relate to its function.

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A certified nursing assistant (CNA) is assisting a patient into a wheelchair. The nurse intervenes if the CNA has:

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Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?

Correct Answer is B

Explanation

The nurse placing a patient following knee replacement surgery into a continuous passive motion (CPM) machine has the responsibility to:

Correct Answer is C

Explanation

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A certified nursing assistant (CNA) is assisting a patient into a wheelchair. The nurse intervenes if the CNA has:

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