A charge nurse is mentoring a newly licensed nurse. Which of the following should the charge nurse include when teaching about ergonomic principles?

Raise the head of the bed when transferring a client from a bed to a stretcher.

Use a pillow underneath the client's head when repositioning a client in bed.

Transfer on the client's weaker side when moving a client from a bed to a chair.

Use a lateral transfer device when moving a client from a bed to a stretcher.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Raise the head of the bed when transferring a client from a bed to a stretcher: Raising the head of the bed alters body mechanics and may complicate the transfer by increasing the angle of elevation, which can lead to strain or improper alignment during the move.

B. Use a pillow underneath the client's head when repositioning a client in bed: A pillow can aid in comfort but does not contribute to safe body mechanics during repositioning. It may also interfere with alignment or reduce the ability to properly lift or turn the client.

C. Transfer on the client's weaker side when moving a client from a bed to a chair: Transferring toward the weaker side increases the risk of instability and falls. Safe ergonomic practice involves moving clients toward their stronger side to encourage participation and minimize staff effort.

D. Use a lateral transfer device when moving a client from a bed to a stretcher: Lateral transfer devices reduce friction between surfaces, making it easier to move the client without excessive force. This protects both the client and the nurse from musculoskeletal injuries and supports safe practice.

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Correct Answer is B

Explanation

Rationale:

A. Disconnecting the catheter from the drainage bag to empty the bag: This increases the risk of introducing pathogens into the closed urinary drainage system, leading to potential catheter-associated urinary tract infections (CAUTIs). The drainage bag should be emptied without breaking the system.

B. Emptying the drainage bag when it is half full: This prevents backflow of urine, which could lead to infection or increased bladder pressure. Regular emptying also allows for accurate measurement of urine output and maintains client comfort.

C. Keeping the drainage bag above waist level: Elevating the bag above the bladder increases the risk of backflow of urine into the bladder, which can introduce bacteria and cause infection. The bag should always remain below the level of the bladder.

D. Using sterile gloves when emptying the drainage bag: Sterile gloves are not necessary for this procedure. Clean gloves are sufficient since the nurse or AP is not entering the sterile parts of the urinary system but rather emptying the bag from the outlet port.

A. Canned black beans B. Fish C. Red meat D. Cheese

Correct Answer is B

Explanation

Rationale:

A. Canned black beans: While black beans are a healthy source of protein and fiber, canned varieties are often high in sodium unless labeled low-sodium. High sodium intake can worsen hypertension, so these should be limited or thoroughly rinsed before use.

B. Fish: Fish, particularly those high in omega-3 fatty acids like salmon and mackerel, can help lower blood pressure and reduce cardiovascular risk. They are a heart-healthy protein source recommended in hypertension management.

C. Red meat: Red meat is often high in saturated fat and cholesterol, which can contribute to elevated blood pressure and heart disease. It should be limited in a diet designed to control hypertension.

D. Cheese: Many cheeses are high in sodium and saturated fat, which can increase blood pressure and cardiovascular strain. Even small portions may contain significant sodium, making them less ideal for clients with hypertension.

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A charge nurse is mentoring a newly licensed nurse. Which of the following should the charge nurse include when teaching about ergonomic principles?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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