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
A sucking chest wound compromises breathing, causes tension pneumothorax, and decreases cardiac output. Hypotension (88/58 mm Hg) and tachycardia (115/min) indicate shock, warranting immediate intervention. Red tag signifies life-threatening but potentially survivable injuries.
Choice B rationale
Penetrating head wounds with irregular breathing suggest brainstem injury, poor prognosis, and impending death. Black tag indicates un-survivable injuries, prioritizing resource allocation to others with a better survival potential.
Choice C rationale
Superficial lacerations involve minor soft tissue damage that does not compromise vital functions. These injuries are non-life-threatening and can wait for delayed medical care without significant risk to life or function.
Choice D rationale
Closed lower leg injuries cause localized pain but do not compromise airway, breathing, or circulation. Pain severity does not indicate life-threatening harm, allowing delayed care. Yellow tag signifies urgent but not immediate need for treatment.
Correct Answer is B
Explanation
Choice A rationale: Administering insulin as prescribed may be necessary if the client's blood sugar is elevated. However, the priority is to reassess the blood sugar level to confirm the current status before administering insulin.
Choice B rationale: Reassessing the client's blood sugar level is critical to determine if hypoglycemia or hyperglycemia is contributing to the symptoms. Accurate blood sugar measurements guide appropriate interventions and prevent complications.
Choice C rationale: Providing a cool compress for the headache may offer symptomatic relief but does not address the underlying cause of the client's symptoms. The primary concern should be assessing and managing blood glucose levels.
Choice D rationale: Notifying the provider of the client's tremors is important, but the nurse has already notified the provider. Immediate reassessment of blood glucose levels takes precedence to address potential hypoglycemia or hyperglycemia.
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