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?

Locks the hydraulic valve before attaching the sling to the lift

Leaves the bed in the lowest position throughout the procedure

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

Places a removable cover over the sling

Answer and Explanation

The Correct Answer is A

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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Correct Answer is A

Explanation

A. "I have a set of my brother's crutches in my basement that I can also use.

Crutches must be individually fitted to the user’s height and arm length to prevent nerve injury and ensure safe mobility. Using another person’s crutches is unsafe.

B. "I will keep spare crutch tips handy."

Crutch tips can wear out or become slippery. Keeping extras on hand is a good safety measure.

C. "I will bear the weight of my body on my hands."

Weight should be borne through the hands and not the underarms to avoid brachial nerve damage (crutch palsy).

D. "I will inspect my crutches every day for signs of wear."

Daily inspection of crutch tips and padding helps ensure safety and durability.

A. "Keep your head straight and turn it as far as possible to either side." B. "Move your head from the upright position back as far as you can." C. "Move your head so that your chin rests on your chest." D. "Move your head laterally towards your right and left shoulder."

Correct Answer is B

Explanation

A. "Keep your head straight and turn it as far as possible to either side."

This is rotation, not hyperextension.

B. "Move your head from the upright position back as far as you can."

This describes hyperextension, which is the movement of the head beyond the neutral upright position.

C. "Move your head so that your chin rests on your chest."

This is flexion, not hyperextension.

D. "Move your head laterally towards your right and left shoulder."

This describes lateral flexion, not hyperextension.

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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?

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