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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Correct Answer is ["A","B","C","E"]
Explanation
The physiological changes of the older adult that put them at risk of falls include: Reduced muscle strength, Sensory losses like vision and hearing, Slowing of reflexes, Inability to adapt Dementia may also contribute to the risk of falls due to impaired judgment, memory, and coordination, but it is not a direct physiological change.
Correct Answer is A
Explanation
Asking someone about their religion is considered culturally sensitive. Hence asking how many times someone prays and how they pray is culturally intrusive.
Asking about meals is a general question and not considered culture sensitive.
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