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
An appropriate response by the nurse to a client who states, "I don't know what to do. My life is a mess." would be to remain attentive and engage with the client in a therapeutic way. This type of statement by the client may indicate feelings of hopelessness, despair, or even suicidal ideation, so it's important for the nurse to respond in a supportive and empathetic manner.
Placing the client on a 72-hour hold immediately would not be an appropriate response unless the client presents an imminent danger to themselves or others. Similarly, leaving the room immediately or telling the client that everything will be fine would not address the client's concerns or provide appropriate support.
Correct Answer is C
Explanation
The primary purpose of an incident report is to document any unexpected or unplanned event that occurs in a healthcare setting, including any adverse events or near misses that involve a patient, staff member, or visitor.
Incident reports are used to identify the underlying causes of an event, to help prevent similar incidents from occurring in the future, and to provide information that can be used to improve the quality and safety of care. Incident reports are not intended to assign blame or responsibility, but rather to gather information and identify opportunities for improvement.
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