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A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient's elbows are bent to which angle while the patient is upright and grasping the handgrips?

5 to 15 degrees

45 to 60 degrees

15 to 30 degrees

30 to 45 degrees

Answer and Explanation

The Correct Answer is C

A. 5 to 15 degrees

This angle is too small, indicating the walker might be too tall, potentially causing shoulder strain.

B. 45 to 60 degrees

This angle is too large, suggesting the walker is too short, forcing the client to hunch over.

C. 15 to 30 degrees

The ideal elbow flexion when holding a walker is 15 to 30 degrees, allowing proper weight distribution and stability.

D. 30 to 45 degrees

This angle is higher than recommended and could result in improper posture and safety risks.

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Correct Answer is B

Explanation

A. Ask the client if she has been out of bed today:

This gives some insight into activity level but doesn't objectively measure strength.

B. Ask the client to push her legs and feet against the nurse's palms:

This provides a direct, physical assessment of the client's lower extremity strength, which is essential before ambulation.

C. Check the client's pedal pulses and feet for edema:

These assessments are related to circulation, not muscular strength.

D. Ask the client how strong she feels today:

This is subjective and may not reflect actual muscle strength or ability to ambulate safely.

A. Locks the hydraulic valve before attaching the sling to the lift B. Leaves the bed in the lowest position throughout the procedure C. Raises the head of the bed to a sitting position just before the transfer D. Places a removable cover over the sling

Correct Answer is A

Explanation

A. Locks the hydraulic valve before attaching the sling to the lift

The hydraulic valve must be unlocked to adjust height and should only be locked after the client is securely attached and raised. Locking it before attaching the sling may indicate improper procedure or reduced safety during lifting.

B. Leaves the bed in the lowest position throughout the procedure

Leaving the bed low can be safe depending on facility protocol and prevents injury if the client or staff lose balance.

C. Raises the head of the bed to a sitting position just before the transfer

Elevating the head of the bed helps the client into a functional sitting position, making sling placement and transfer easier and safer.

D. Places a removable cover over the sling

A removable cover can enhance comfort and hygiene, especially if the sling is shared.

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A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient's elbows are bent to which angle while the patient is upright and grasping the handgrips?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?

Correct Answer is B

Explanation

A nurse is observing an assistive personnel (AP) who is using a mechanical lift with a hammock sling to transfer a client from the bed to a chair. For which of the following actions by the AP should the nurse intervene?

Correct Answer is A

Explanation

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