A nurse is preparing to reposition a client towards the head of the bed. In which of the following positions should the nurse place the client before repositioning them to the head of the bed?

High-Fowler

Lateral

Prone

Supine

Answer and Explanation

The Correct Answer is D

A. High-Fowler:
In the high-Fowler position (sitting upright at 60-90 degrees), gravity pulls the client downward, making it more difficult to reposition them toward the head of the bed.

B. Lateral:
In the lateral position (lying on the side), the client is not aligned for upward movement and would require additional steps to turn them back to a supine position before repositioning.

C. Prone:

The prone position (lying on the stomach) is not appropriate for repositioning toward the head of the bed, as it makes movement more difficult and increases the risk of injury.
D. Supine:
This position provides a stable and neutral alignment for the client's body, making it easier to use safe lifting techniques or assistive devices (e.g., draw sheet) to move the client toward the head of the bed.

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Correct Answer is C

Explanation

A) Standing requires more mobility and strength; it's not the first step in assessing mobility.
B) Placing feet on the floor assesses the client's ability to follow instructions and indicates readiness for further mobility assessments but is not the first step compared to sitting on the edge of the bed for 2 minutes.
C) This is the first action that the nurse should take to assess the client's mobility and balance. Sitting on the edge of the bed for 2 min allows the nurse to observe the client's posture, strength, coordination, and ability to maintain equilibrium.
D) This is a more advanced mobility assessment and should come after basic assessments like placing feet on the floor.

A. Minimal assist B. Moderate assist C. No assist D. Maximum assist

Correct Answer is C

Explanation

A. Minimal assist means that the client needs some verbal cues or light touch to perform an activity.
B. Moderate assist means that the client needs physical assistance from one person to perform an activity.
C. The client's ability to rise from a seated position using a cane for support indicates that they require no assistance from the nurse or another person to perform this activity. Therefore, the appropriate activity level assignment is "No assist."
D. Maximum assist means that the client needs physical assistance from two or more people to perform an activity.

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A nurse is preparing to reposition a client towards the head of the bed. In which of the following positions should the nurse place the client before repositioning them to the head of the bed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on the mobility of a client. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is assisting in performing a mobility assessment on a client. The client can rise from a seated position using a cane for support. The nurse should assign the client which of the following activity levels?

Correct Answer is C

Explanation

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