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 B

Explanation

A. Speeding the drying with a hair dryer:

This is not recommended as it can cause uneven drying and burns. Plaster casts must dry naturally.

B. Elevating the leg on one to two pillows:

Elevation promotes venous return and reduces swelling in the affected extremity.

C. Petaling the edges of the cast:

Petaling helps prevent skin breakdown from rough cast edges but does not affect edema.

D. Placing the patient in high Fowler's position:

This position benefits respiratory function but does not aid in reducing lower extremity edema.

A. Kyphosis B. Scoliosis C. Lordosis D. Ankylosis

Correct Answer is A

Explanation

A. Kyphosis

Kyphosis refers to an exaggerated forward curvature of the thoracic spine, common in osteoporosis and aging.

B. Scoliosis

Scoliosis is a lateral (side-to-side) curvature of the spine.

C. Lordosis

Lordosis is an inward (anterior) curvature of the lumbar spine.

D. Ankylosis

Ankylosis is joint stiffness or fixation, often due to chronic inflammation or fusion.

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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?

Nursing Test Bank

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