A nurse is monitoring an assistive personnel (AP) preparing to transfer a client who has hemiplegia from a bed to a wheelchair. For which of the following actions by the AP should the nurse should intervene?
Ensures the client's bed is in the locked position
Places the wheelchair on the client's weak side
Removes the foot rests from the client's wheelchair
Applies a gait belt to the client's waist
The Correct Answer is B
A. Ensures the client's bed is in the locked position:
This is correct and prevents the bed from moving during transfer.
B. Places the wheelchair on the client's weak side:
The wheelchair should be placed on the client’s strong side to allow the client to pivot and transfer more safely. Placing it on the weak side increases fall risk.
C. Removes the foot rests from the client's wheelchair:
This is correct and prevents tripping or stumbling during transfer.
D. Applies a gait belt to the client's waist:
This is correct and promotes safety during transfers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Soft-serve ice cream:
Cold dairy products can exacerbate nausea and cause mucus thickening; they are not the best choice during chemotherapy-induced nausea.
B. String cheese:
Cheese is high in fat and can delay gastric emptying, potentially worsening nausea.
C. Raisin toast:
Light, dry, low-fat foods such as toast, crackers, or pretzels are often well tolerated during nausea because they are easy to digest and bland.
D. Hot tea:
Hot beverages can increase stomach activity and worsen nausea; cool or room-temperature fluids are generally better tolerated.
Correct Answer is B
Explanation
A. Administer an antibiotic for a client who has methicillin-resistant Staphylococcus aureus:
While important to prevent infection progression, it is not as urgent as interventions addressing oxygenation.
B. Initiate oxygen therapy via nasal cannula for a client who has COPD:
Oxygen therapy addresses impaired gas exchange, which is an immediate priority according to the ABCs (Airway, Breathing, Circulation).
C. Initiate a 24-hr urine collection for a client who has end-stage kidney disease:
This is a time-sensitive diagnostic procedure but does not take precedence over breathing needs.
D. Change the dressing for a client who has a decubitus ulcer:
Wound care is important but is not urgent compared to compromised oxygenation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.