A nurse is caring for a client who is recovering from a stroke. Which of the following information should the nurse include when reinforcing teaching with members of the client's family about repositioning the client?
(Select All that Apply.)

Elevate the bed to waist height.

Position the client toward the edge of the bed on the side the client will face after turning.

Remove pillows prior to repositioning.

Stand with their feet wide apart.

Answer and Explanation

Correct Answer : A,B,D,E

A. Elevate the bed to waist height: Raising the bed to waist level promotes proper body mechanics and reduces back strain for caregivers.
B. Position the client toward the edge of the bed on the side the client will face after turning: This makes repositioning easier and safer, allowing for better leverage and control.
C. Remove pillows prior to repositioning: Pillows may support body parts during turning and should be removed only if they obstruct repositioning, not as a general rule.
D. Stand with their feet wide apart: A wide base of support ensures better balance and stability when repositioning a client.
E. Face the direction of movement when repositioning the client: Facing the direction of movement maintains spinal alignment and prevents twisting injuries.

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Correct Answer is C

Explanation

A. "The grip should be level with the client's waist.": The cane’s handgrip should be at wrist level when the client’s arm is relaxed.
B. "The client should hold the cane on the weak side of his body.": The cane should be held on the stronger side to support the weaker leg.
C. "When the client moves, he should move the cane forward first.": This allows the cane to support the weight when the weaker leg is advanced.
D. "The client should first move the strong leg, then the weak one.": The weaker leg should move first with the cane, followed by the stronger leg.

A. Use safety pins to keep the pad in place. B. Set the pad's temperature to 42.2° C (108° F). C. Stop the treatment if the client's skin becomes red. D. Leave the pad in place for at least 40 min.

Correct Answer is C

Explanation

A. Use safety pins to keep the pad in place: Safety pins can puncture the pad, leading to leaks or burns.
B. Set the pad's temperature to 42.2° C (108° F): That is too hot. Safe temperatures for heat application are usually around 40–41°C (104–105.8°F).
C. Stop the treatment if the client's skin becomes red: Redness may indicate burning or tissue damage; the application must be discontinued immediately.
D. Leave the pad in place for at least 40 min: Heat therapy is usually applied for 20–30 minutes to avoid rebound vasoconstriction and tissue injury.

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A nurse is caring for a client who is recovering from a stroke. Which of the following information should the nurse include when reinforcing teaching with members of the client's family about repositioning the client? (Select All that Apply.)

Nursing Test Bank

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Correct Answer is C

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A nurse is caring for a client who is recovering from a stroke. Which of the following information should the nurse include when reinforcing teaching with members of the client's family about repositioning the client?
(Select All that Apply.)