A nurse is observing an assistive personnel (AP) changing the linens on the bed of a client who is immobile. Which of the following actions by the AP should the nurse identify as an indication of the need to intervene?

Rolls the client to one side of the bed

Reaches over the bed to straighten the fitted sheet

Lowers the side rail on the side of the bed closest to the AP

Raises the bed to waist level

Answer and Explanation

The Correct Answer is B

A. Rolling the client to one side of the bed is an appropriate action to change the linens.
B. Reaching over the bed to straighten the fitted sheet can cause strain and potential injury to the AP's back and should be corrected.
C. Lowering the side rail on the side of the bed closest to the AP is necessary for changing the linens safely.
D. Raising the bed to waist level is an appropriate action to ensure proper body mechanics and prevent injury.

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Correct Answer is B

Explanation

Rationale:
A. Omega-3 fatty acids are beneficial for cardiovascular health.
B. Trans-fatty acids increase the risk of cardiovascular disease; this statement indicates a misunderstanding.
C. Regular exercise is known to increase HDL cholesterol, which is protective against cardiovascular disease.
D. Weight loss can help lower LDL cholesterol levels, reducing cardiovascular risk.

A. 2 mg B. 0.20 mg C. 2.0 mg D. 0.2 mg

Correct Answer is D

Explanation

A. 2 mg is incorrect and significantly higher than the prescribed dose.
B. 0.20 mg is incorrect because trailing zeros after the decimal point can lead to dosage errors.
C. 2.0 mg is incorrect and significantly higher than the prescribed dose and also includes a trailing zero.
D. 0.2 mg is the correct way to transcribe two tenths of a milligram without using trailing zeros, which reduces the risk of medication errors.

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A nurse is observing an assistive personnel (AP) changing the linens on the bed of a client who is immobile. Which of the following actions by the AP should the nurse identify as an indication of the need to intervene?

Nursing Test Bank

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