A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take?

Elevate the bed to a position of comfort for the nurse.

Acquire the help of several people to lift the client.

Place the wheelchair at a 90° angle to the bed.

Lock the wheels of the bed and the wheelchair.

Answer and Explanation

The Correct Answer is D

A.   Elevating the bed for the comfort of the nurse does not address the safety and comfort of the client during the transfer.
B.   While it's important to have assistance if needed, using several people to lift the client may not always be necessary or appropriate.
C.   This positioningis not optimal, as it makes it harder for the client to pivot and sit on the wheelchair.
D.   Ensuring the wheels of both the bed and the wheelchair are locked helps maintain stability and safety during the transfer process, reducing the risk of accidental movement and potential falls.

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Correct Answer is A

Explanation

A. This is the appropriate height to allow the fluid flow by gravity.
B. This is such a short distance and the fluid wouldn't flow as desired.
C. Holding the container at the client's upper hip would not provide the appropriate angle for administering the enema.
D. This choice does not provide specific guidance on the height or angle for administering the enema, which is crucial for the procedure's effectiveness.

A. Checking the pupillary response to light B. Eliciting the gag reflex C. Testing visual acuity D. Observing for facial symmetry

Correct Answer is A

Explanation

A. Cranial nerve III, also known as the oculomotor nerve, controls the muscles that move the eye and regulates the size of the pupil. Assessing the pupillary response to light helps evaluate the function of this nerve.
B. Eliciting the gag reflex is associated with cranial nerves IX (glossopharyngeal) and X (vagus), not cranial nerve III.
C. Testing visual acuity is primarily associated with cranial nerve II (optic nerve), not cranial nerve III.
D. Observing facial symmetry is important for assessing cranial nerve VII (facial nerve), not cranial nerve III.

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