A nurse is preparing to assist a client who can partially bear weight and is cooperative with transfer from the bed to a chair. Which of the following actions should the nurse take to maintain safety during the transfer?

Enlist help from another staff member

Avoid movements that twist the spine

Use a powered standing-assist lift

Adjust the bed to an appropriate height

Answer and Explanation

The Correct Answer is C

A reason:

Enlisting help from another staff member is important for safety, but it is not the most specific intervention for this scenario. Using a powered lift ensures a safer and more controlled transfer process.

B reason:

Avoiding movements that twist the spine is good practice for the nurse's safety, but it does not directly address the client's need for assistance during the transfer. Proper lifting techniques are important, but mechanical assistance is preferable for this situation.

C reason:

Using a powered standing-assist lift is the best option. It helps the client who can partially bear weight to transfer safely and reduces the risk of injury to both the client and the nurse. This equipment is designed specifically for such transfers.

D reason:

Adjusting the bed to an appropriate height is a necessary step to facilitate the transfer, but it is not sufficient on its own. Using a lift in addition to adjusting the bed height ensures maximum safety and efficiency during the transfer process.

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Correct Answer is B

Explanation

A reason:

Visitors may bring a fruit basket is incorrect. Fresh fruit can carry bacteria and should be avoided.

B reason:

Refraining from bringing flowers is correct. Flowers can carry bacteria and fungi, posing a risk to immunocompromised clients.

C reason:

A sick family member visiting, even with a mask, is incorrect. Sick visitors should avoid contact with immunocompromised clients to prevent infection.

D reason:

All visitors must complete hand washing, but wearing an N95 mask is not necessary unless specifically required. Standard masks are typically sufficient.

A. Pallor. B. Bradypnea. C. Tachycardia. D. Somnolence.

Correct Answer is C

Explanation

A reason: Pallor. Pallor refers to an abnormal paleness of the skin, which can be caused by various conditions such as anemia or shock. It is not related to heart rate.

B reason: Bradypnea. Bradypnea refers to an abnormally slow breathing rate. It is unrelated to heart rate and is not the correct term for describing an elevated heart rate.

C reason: Tachycardia. Tachycardia is the medical term for an abnormally fast heart rate, typically defined as a heart rate over 100 beats per minute. A heart rate of 115 falls into this category, making tachycardia the correct term.

D reason: Somnolence. Somnolence refers to a state of drowsiness or sleepiness. It is not related to heart rate and is not the appropriate term for describing an elevated heart rate.

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A nurse is preparing to assist a client who can partially bear weight and is cooperative with transfer from the bed to a chair. Which of the following actions should the nurse take to maintain safety during the transfer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an immunocompromised client on chemotherapy. The family would like to visit. What teaching should the nurse provide to the family regarding protective isolation?

Correct Answer is B

Explanation

A nurse is assessing a client who has a heart rate of 115. Which of the following is the medical term?

Correct Answer is C

Explanation

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