A nurse is preparing to transfer a client who has left-sided weakness from a sitting position in bed to a chair. Which of the following actions should the nurse take?
Place the chair on the client's left side.
Raise the height of the client's bed.
Lock the wheels on the client's bed.
Place the chair at a 90° angle to the bed.
The Correct Answer is C
A) The chair should be placed on the client's stronger (right) side to facilitate a safer and more controlled transfer. The client can use their stronger side to assist in the movement.
B) The bed should be at a comfortable height, ideally level with the chair, to allow a smooth transfer. Raising the bed too high can make it difficult for the client to place their feet firmly on the ground, reducing stability.
C) Locking the wheels on the bed ensures stability and prevents movement while assisting the client with the transfer. This is a crucial safety measure to reduce the risk of falls or injuries during the transfer process.
D) The chair should be positioned at a 45° angle to the bed to allow for a more natural pivot and smoother transfer. A 90° angle can make the movement more difficult and awkward for the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This is part of proper body mechanics but not the first action when repositioning a client.
B) Proper body mechanics involve pivoting rather than twisting the spine but is not the first action when repositioning a client.
C) Adjusting the bed height ensures the nurse is working at an optimal level to prevent strain during the repositioning process.
D) Engaging core muscles is important for stability during lifting and repositioning but is not the first action to take.
Correct Answer is D
Explanation
A) This is a medication error, but since it was intercepted before harm occurred, it does not qualify as a sentinel event.
B) While a fall resulting in a fracture is serious, it is not classified as a sentinel event unless the fall results in death, permanent harm, or significant temporary harm.
C) This is a near-miss medication error, which is important to report and investigate but does not meet the criteria for a sentinel event.
D) A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Death from sepsis following surgery would qualify as a sentinel event.
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