A nurse is assisting with a transfer from the bed to a wheelchair. Which of the following is a priority action of the nurse to ensure client safety?
Encourage the client to push up from the wheelchair
Ensure the client is bathed before getting into the wheelchair
Lock the wheels of the wheelchair
Place the bed in the lithotomy position
The Correct Answer is C
The priority action of the nurse to ensure client safety during a transfer from the bed to a wheelchair is to lock the wheels of the wheelchair. This will prevent the wheelchair from moving and provide a stable surface for the client to transfer onto.
Encouraging the client to push up from the wheelchair is not a safe option, as it could result in the client losing their balance and falling.
Ensuring the client is bathed before getting into the wheelchair is not directly related to client safety during the transfer.
Placing the bed in the lithotomy position, which involves positioning the client with their feet in stirrups and their legs elevated, is not necessary for a transfer to a wheelchair and could potentially increase the risk of injury.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
If a client who has recently undergone an above knee amputation complains of pain distal to the amputation, the type of pain that the client is experiencing is most likely neuropathic pain. Neuropathic pain is a type of pain that occurs as a result of damage or dysfunction to the nervous system. It is often described as a burning, tingling, or shooting sensation and can be difficult to manage with traditional pain medications.
In the case of an amputation, neuropathic pain can occur as a result of the nerve endings in the remaining portion of the limb sending signals to the brain that are interpreted as pain. This can lead to the perception of pain in the "phantom" limb, which is no longer present.
Visceral pain is a type of pain that arises from the internal organs of the body, such as the stomach, intestines, bladder, or uterus. It is often described as a deep, dull, or pressure-like ache that can be difficult to localize or pinpoint to a specific area.
Nociceptive pain is a type of pain that occurs as a result of the activation of nociceptors, which are specialized nerve fibers that respond to noxious stimuli such as heat, cold, pressure, or chemical irritants. Nociceptors are found in various tissues throughout the body, including the skin, muscles, bones, and organs.
Cutaneous pain is a type of pain that arises from the skin or subcutaneous tissues. It is often described as a sharp, burning, or prickling sensation and can be caused by a variety of factors, such as injury, inflammation, or infection of the skin.
Correct Answer is ["A","B","E"]
Explanation
The appropriate interventions for clients with visual impairments are to identify yourself, ensure adequate lighting, and provide discharge instructions in a larger font.
Speaking louder is not always helpful as it can distort the sound, making it harder to understand. It's also not appropriate to talk to other people in the room, as the client may not know who is being addressed.
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