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 D

Explanation

A. Irrigating the wound with an antiseptic prior to obtaining the specimen can introduce substances that may interfere with the accuracy of the culture results. Sterile saline is the preferred solution for wound irrigation.
B. Intact skin at the wound edges should not be included in the culture. The specimen should be obtained directly from the wound bed or drainage.
C. Swabbing an area of skin away from the wound to identify the usual flora is not appropriate for obtaining a wound drainage specimen. The culture should be taken directly from the wound site.
D. Before obtaining a wound-drainage specimen for culture, it is important to cleanse the wound with a sterile solution, such as 0.9% sodium chloride saline irrigation. This helps remove debris and contaminants from the wound site, providing a more accurate specimen for culture.

A. Request a prescription for an indwelling urinary catheter. B. Take the client to the bathroom every 2 hr. C. Remind the client to tell the nurse when he has to urinate. D. Use adult diapers to prevent frequent clothing changes. E. Use adult diapers to prevent frequent clothing changes.

Correct Answer is B

Explanation

A. Using an indwelling urinary catheter should be avoided unless absolutely necessary due to the associated risks of infection and other complications. It's not the first-line intervention for managing urinary incontinence.
B. Frequent toileting, also known as scheduled toileting or prompted voiding, is an effective intervention for managing urinary incontinence in older adults with dementia. It helps prevent accidents by ensuring the client has regular opportunities to use the
bathroom.
C. Reminding the client to tell the nurse when they need to urinate can be helpful, but it may not be sufficient on its own, especially for individuals with dementia who may have difficulty recognizing or communicating their needs.
D. Using adult diapers should be considered a last resort, as it does not address the underlying issue and may not promote the client's independence or dignity.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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