A nurse is showing a newly licensed nurse how to use a mechanical lift.Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?

"The sides of the sling are for the client to hold on to.”.

"This type of device is useful for a client who cannot assist.”.

"The lower end of the sling goes below the client's calves.”.

"The device requires the client to use upper body strength.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale

The sides of the sling are not designed for the client to hold on to, as this could compromise safety. Clients should keep their hands away to prevent injury and ensure stability during the transfer.

Choice B rationale

Mechanical lifts are designed to assist clients who cannot help themselves due to limited mobility or strength. This device ensures safe transfer without requiring the client's physical assistance, reducing the risk of injury to both the client and the caregiver.

Choice C rationale

Positioning the sling's lower end below the client's calves is incorrect. The correct positioning is beneath the client's thighs and around the upper body to provide adequate support during the lift. Incorrect placement can lead to discomfort or injury.

Choice D rationale

Mechanical lifts do not require the client to use upper body strength. These devices are specifically intended to aid clients with minimal or no ability to support themselves, thereby minimizing physical exertion from the client.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

A repressed grief response, where an individual avoids expressing their grief, is considered delayed grief, not exaggerated grief. This can manifest as physical symptoms or psychological issues later on.

Choice B rationale

Grief that begins following a terminal diagnosis is anticipatory grief, which is a normal response as individuals begin to process the impending loss. It prepares them emotionally for the eventual death.

Choice C rationale

Exaggerated grief involves intense, prolonged, and often harmful reactions such as self-destructive behaviors. This type of grief can significantly impair a person's ability to function and may require professional intervention.

Choice D rationale

A grief response triggered by a secondary loss (e.g., loss of job or home) is known as cumulative grief. While it complicates the grieving process, it does not inherently lead to the exaggerated, self-destructive behaviors seen in exaggerated grief.

A. Check the client's medical records to see which medications were recently administered. B. Review the client's most recent SaO2 level in the medical record. C. Notify the charge nurse of the client's condition. D. Recheck the client's SaO2 level after having the client cough and clear their throat.

Correct Answer is D

Explanation

Choice A rationale

While checking recent medication administration is important, it is not the immediate priority when a client is experiencing shortness of breath. Immediate actions should focus on assessing and improving the client's oxygenation status.

Choice B rationale

Reviewing the client’s most recent SaO2 level is useful, but not the first action to take when there is an immediate concern for the client’s oxygenation. Addressing the current low SaO2 level takes precedence.

Choice C rationale

Notifying the charge nurse is necessary, but the nurse should first attempt to quickly re-evaluate the client’s condition and try simple interventions to improve oxygenation, such as having the client cough and clear their throat.

Choice D rationale

Rechecking the SaO2 level after having the client cough and clear their throat is the appropriate first action. This can help determine if the low SaO2 reading is due to a temporary obstruction, such as mucus, and allows for a more accurate assessment of the client's respiratory status. .

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is showing a newly licensed nurse how to use a mechanical lift.Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is participating in a group discussion about complicated grief associated with loss.Which of the following should the nurse identify as an example of exaggerated grief?

Correct Answer is C

Explanation

A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air.Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who has crutches regarding the use of the three-point gait.Which of the following instructions should the nurse include?

A nurse is observing an assistive personnel (AP) apply a belt restraint to a client.Which of the following actions by the AP requires intervention by the nurse?

A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer.The employer asks the nurse about the client's condition.Which of the following is an appropriate response by the nurse?

A nurse is caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse, "I'm not going to take this medication because it makes me sick and dizzy.”. Which of the following actions should the nurse take first?

A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

A nurse is transferring a client to another unit.Which of the following statements should the nurse include in the transfer report?

A nurse is caring for an older adult client who has fecal incontinence.Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who is about to start using a standard walker.Which of the following statements by the client indicates an understanding of the instructions?