A nurse is preparing to reposition a patient.
Which of the following actions should the nurse take first?

Elevate the height of the patient’s bed

Tighten their abdominal muscles

Position their feet in line with their shoulders

Pivot their feet in the direction of the move

Answer and Explanation

The Correct Answer is A

Choice A rationale
Before repositioning a patient, the nurse should first elevate the height of the patient’s bed. This allows the nurse to work at a comfortable height and reduces the risk of injury.
Choice B rationale
While tightening the abdominal muscles can help with lifting and moving, it is not the first action the nurse should take when preparing to reposition a patient.
Choice C rationale
Positioning the feet in line with the shoulders can provide a stable base of support when moving or lifting. However, this is not the first action the nurse should take when preparing to reposition a patient.
Choice D rationale
Pivoting the feet in the direction of the move can help with turning and moving. However, this is not the first action the nurse should take when preparing to reposition a patient.

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Correct Answer is C

Explanation

Choice A rationale
Regression is a defense mechanism where an individual reverts to an earlier stage of development or a less mature behavior when faced with stress or anxiety. This does not fit the scenario provided. Choice B rationale
Projection involves attributing one’s own unacceptable feelings or thoughts to others. This is not the case in the scenario provided.
Choice C rationale
Rationalization involves creating logical but untrue explanations to justify unacceptable behavior or feelings. In this scenario, the patient is rationalizing their failure to take their medication by blaming their partner’s forgetfulness.
Choice D rationale
Repression involves unconsciously blocking out painful or uncomfortable thoughts or feelings. This does not fit the scenario provided.

Question 14.

A. Decreased thickness of tympanic membranes B. Decreased tinnitus C. Decreased ability to hear high-frequency sounds D. Decreased ear wax .

Correct Answer is C

Explanation

Choice A rationale
While the thickness of the tympanic membranes can indeed change with age, it typically increases rather than decreases. Thickening of the tympanic membranes can contribute to hearing loss by reducing the ability of the ear to transmit sound vibrations.
Choice B rationale
Tinnitus, or ringing in the ears, is not typically decreased in older adults. In fact, tinnitus is often more common in older individuals and can be a sign of age-related hearing loss.
Choice C rationale
A decreased ability to hear high-frequency sounds is a common physiological change associated with aging. This is often one of the first signs of age-related hearing loss.
Choice D rationale
Decreased ear wax is not typically associated with aging. In fact, some older adults may produce more ear wax, which can contribute to hearing problems if it becomes impacted.

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A nurse is preparing to reposition a patient. Which of the following actions should the nurse take first?

Nursing Test Bank

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A nurse is preparing to reposition a patient.
Which of the following actions should the nurse take first?