A nurse is preparing to transfer a client from a chair to the client’s bed. The client can bear partial weight and has upper body strength. Which of the following devices should the nurse use to transfer the client?
Stand-assist lift.
Footboard.
Slide board.
Mechanical lift with a full body sling.
The Correct Answer is A
Choice A rationale
A stand-assist lift is suitable for clients with partial weight-bearing ability and upper body strength. It promotes independence by utilizing the client's own strength while ensuring safety during the transfer.
Choice B rationale
A footboard prevents foot drop in bedridden clients but is not designed for transferring clients between sitting and lying positions, offering no support for mobility or weight-bearing needs during transfers.
Choice C rationale
A slide board aids in lateral transfers for clients with minimal mobility or strength deficits. However, it is less effective for clients needing partial assistance in transferring from a sitting to a lying position.
Choice D rationale
A mechanical lift with a full body sling is used for non-weight-bearing clients requiring full support. It provides total assistance, making it unsuitable for clients with partial weight-bearing capacity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Administering Albuterol nebulizer 2.5 mg stat is appropriate for acute bronchospasm. Albuterol is a beta-agonist that relaxes airway smooth muscles, improving oxygenation. It is only administered when clinically indicated.
Choice B rationale
Methylprednisolone 50 mg IV is used for severe inflammation. It suppresses immune responses and reduces cytokine activity, but it does not directly address acute symptoms needing immediate intervention.
Choice C rationale
Reassessing vital signs ensures the patient’s stability before administering medications. This is vital in emergencies to evaluate therapy needs and prevent further clinical deterioration.
Choice D rationale
Notifying the provider about worsening symptoms after administration ensures timely interventions. However, preemptive measures, like reassessing stability, take priority before escalation.
Correct Answer is B
Explanation
Choice A rationale
While legal advice might assist, attorneys are not required to sign advance directives. Requirements vary by jurisdiction but typically involve witnesses or a notary for validity.
Choice B rationale
Living wills document clients’ preferences for medical care when decision-making is impaired. It is a central component of advance directives and demonstrates the client’s understanding.
Choice C rationale
Though appointing a health care proxy is an option, it is not mandatory for advance directives. Living wills alone can suffice to outline preferences without assigning a proxy.
Choice D rationale
Advance directives generally address situations where resuscitation is undesired, such as DNR orders, rather than requiring explicit documentation for resuscitation preferences, making this statement inaccurate.
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