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 A

Explanation

Rationale:

A. "Tell me more about how you are feeling about this pregnancy.": This open-ended, therapeutic statement encourages the adolescent to express her thoughts and emotions. It shows empathy and supports trust-building, which is essential in managing anxiety and promoting emotional well-being.

B. "Clients are usually happy about a second pregnancy.": This response generalizes experiences and dismisses the client’s individual feelings. It may cause the client to feel misunderstood or pressured to conform to others' expectations.

C. "You will feel better when you have your first ultrasound.": This statement minimizes the client’s current emotional state and assumes that reassurance will come from a future event, which may not address the underlying anxiety.

D. "Let's focus on how you are feeling physically.": While physical symptoms are important, this response deflects from the client's expressed emotional concern. It can shut down conversation about her psychological well-being, which is the main issue presented.

A. Change gloves after contact with infectious material. B. Wear an N95 respirator when providing care. C. Wear a gown when providing care. D. Remove the thermometer from client's room for use on another client. E. Wash hands with an alcohol based cleaner.

Correct Answer is ["A","C"]

Explanation

Rationale:

A. Change gloves after contact with infectious material: Gloves must be changed after contact with infectious material to prevent cross-contamination. C. difficile spores can survive on surfaces and be transferred if gloves are not properly changed between tasks or patients.

B. Wear an N95 respirator when providing care: An N95 respirator is not required for C. difficile, as it is transmitted via the fecal-oral route through spores, not by airborne particles. Standard and contact precautions not airborne are appropriate for this infection.

C. Wear a gown when providing care: Wearing a gown is essential when caring for a client with C. difficile, as the spores can contaminate clothing and surfaces. Contact precautions require both gloves and gowns for direct care.

D. Remove the thermometer from client's room for use on another client: Equipment used for a client with C. difficile should remain dedicated to that client to prevent environmental contamination. Sharing items between patients increases the risk of spreading spores.

E. Wash hands with an alcohol-based cleaner: Alcohol-based hand sanitizers are ineffective against C. difficile spores. Hands should be washed with soap and water, which is the only effective method for removing these resilient organisms.

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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

A nurse is caring for an adolescent client who is pregnant with their second child and is experiencing anxiety. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is caring for a client who has a Clostridium difficile infection. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","C"]

Explanation

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