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.”.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Placing the specimen in a clean specimen cup is not appropriate for a urine culture and sensitivity test. A sterile specimen cup is required to avoid contamination and ensure accurate results.
Choice B rationale
Removing 45 mL of urine from the catheter with a syringe is incorrect. Only 5-10 mL of urine is needed for a culture and sensitivity test, and excessive removal can lead to inaccurate test results or sample contamination.
Choice C rationale
Clamping the catheter tubing below the needleless port is the correct action. This allows urine to accumulate in the tubing, providing a fresh and uncontaminated sample for the culture and sensitivity test.
Choice D rationale
Clamping the catheter tubing for 60 minutes is too long and can cause urine stasis, increasing the risk of catheter-associated urinary tract infections. The tubing should be clamped only for a short duration to collect an adequate sample. .
Correct Answer is C
Explanation
Choice A rationale
Documenting the refusal in the client's medical record is important for legal and clinical reasons, ensuring there's a record of the client's decision and the nurse's response. However, it doesn't address the client's immediate concerns or needs.
Choice B rationale
Returning the medication to the medication cabinet is a necessary step to ensure medication safety and avoid accidental administration. Yet, it does not address the client's reasons for refusal or the potential risks involved.
Choice C rationale
The nurse’s first action should be to provide client education about the importance of taking the medication and the potential consequences of refusal (e.g., increased blood pressure, risk of stroke or heart attack). Addressing the client’s concerns about side effects can encourage adherence or lead to an alternative treatment plan.Client autonomy is respected, but ensuring informed refusal is part of the nurse’s role.
Choice D rationale
The provider should be informed, but only after the nurse has attempted to educate and address the client’s concerns. The provider may adjust the prescription if side effects are problematic.
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