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 A
Explanation
Choice A rationale
Cyanotic mucous membranes and oxygen saturation of 84% indicate severe hypoxemia. Normal oxygen saturation is 95–100%. The cyanosis suggests inadequate tissue oxygenation, requiring immediate intervention to prevent respiratory failure.
Choice B rationale
Diffuse wheezing and tremors may signify severe airway obstruction or beta-agonist overuse. While concerning, these findings are not as immediately life-threatening as hypoxemia and cyanosis.
Choice C rationale
Elevated blood pressure (168/90 mm Hg) and heart rate (98/min) may indicate stress or pain but do not reflect acute life-threatening changes compared to severe hypoxemia.
Choice D rationale
Clear rhinorrhea and warm, dry skin may suggest mild upper respiratory infection. These findings do not indicate imminent danger or severe respiratory compromise compared to hypoxemia and cyanosis.
Correct Answer is A
Explanation
Choice A rationale
Active immunity involves the production of antibodies by B lymphocytes in response to antigen exposure, creating a specific and adaptive immune response. This process provides long-lasting immunity.
Choice B rationale
Passive immunity provides temporary immunity through the transfer of pre-formed antibodies, such as via breast milk or immunoglobulin therapy. It does not induce memory B cell activation, so lifelong immunity is not achieved.
Choice C rationale
Active immunity results in long-term immunity by stimulating the immune system to develop memory cells. It does not have a short duration as it enables sustained protection against pathogens.
Choice D rationale
Passive immunity does not involve active antigen recognition by the immune system. However, the immune system is not rendered incapable of recognizing antigens, as this statement incorrectly implies a functional deficiency.
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