The nurse is demonstrating correct transfer procedures to the unlicensed assistive personnel (UAP) working on a rehabilitation unit. The UAP asks the nurse how to safely move a physically disabled client from the wheelchair to a bed. Which action should the nurse recommend?

Hold the client at arm's length while transferring to better distribute the body weight.

Place the client's locked wheelchair on the client's strong side next to the bed.

Pull the client into position by reaching from the opposite side of the bed.

Apply a gait belt around the client's waist once a standing position has been assumed.

Answer and Explanation

The Correct Answer is B

A. Hold the client at arm's length while transferring to better distribute the body weight: Holding the client at arm's length is not recommended as it does not provide adequate support. The caregiver should be close to the client to maintain control to ensure safe transfer.

B. Place the client's locked wheelchair on the client's strong side next to the bed: Positioning the wheelchair on the client’s strong side provides support and stability during the transfer, allowing the caregiver to assist effectively while ensuring the client’s safety.

C. Pull the client into position by reaching from the opposite side of the bed: Reaching from the opposite side of the bed can cause strain on the caregiver's back and may increase the risk of injury. It is safer to stay close to the client during transfers to minimize physical strain.

D. Apply a gait belt around the client's waist once a standing position has been assumed: The gait belt should be applied before the client assumes a standing position. This ensures proper support and control during the transfer. Waiting until standing could cause instability.

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Correct Answer is D

Explanation

A. Frequency that the child uses a rescue inhaler during the week: While it is important to know how often the child uses a rescue inhaler, it does not provide immediate, critical information to assess the severity of the current asthma attack.

B. Type of inhaler the child typically uses on a regular basis: While knowing the type of inhaler the child uses regularly can provide insight into their asthma management, it is not the most critical information at this moment, the current treatment is he most urgent.

C. Type of allergen exposure or trigger for the current episode: Understanding the trigger for the current asthma episode is helpful for long-term management but is not as urgent in the immediate assessment of the child’s condition during an acute exacerbation.

D. Last dose and type of rescue inhaler used by the child: This information helps assess whether the child has received appropriate treatment and whether additional or different interventions are needed immediately to address the asthma exacerbation, helps guide further treatment decisions.

A. Supine positioning. B. Verbal reassurance. C. Physical soothing. D. Simultaneous injections.

Correct Answer is D

Explanation

A. Supine positioning: While positioning may help comfort the child, it does not directly reduce the pain associated with vaccinations. The focus should be on strategies that address pain management during the procedure.

B. Verbal reassurance: Verbal reassurance is helpful for reducing anxiety, but it may not be enough to reduce the pain during the injection. The toddler may not fully understand verbal comfort in a way that would minimize discomfort.

C. Physical soothing: Physical soothing, such as holding or rocking the child, may help calm the toddler, but it does not directly reduce the pain associated with receiving multiple injections. It can, however, provide emotional comfort.

D. Simultaneous injections: Administering multiple injections at once (if prescribed and safe to do so) can reduce the overall duration of pain, as it minimizes the number of needle sticks. This approach allows for the vaccines to be given quickly, reducing the time the child is experiencing discomfort.

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The nurse is demonstrating correct transfer procedures to the unlicensed assistive personnel (UAP) working on a rehabilitation unit. The UAP asks the nurse how to safely move a physically disabled client from the wheelchair to a bed. Which action should the nurse recommend?

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Naxlex Comprehensive Predictor Exams

A parent brings their child, who has a history of asthma, to the emergency room. The child is wheezing and speaking one word between each breath. The child is anxious, tachycardic, and has labored respirations. Which assessment is most important for the nurse to obtain?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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The nurse is demonstrating correct transfer procedures to the unlicensed assistive personnel (UAP) working on a rehabilitation unit. The UAP asks the nurse how to safely move a physically disabled client from the wheelchair to a bed. Which action should the nurse recommend?

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