The nurse is preparing to transfer a patient from the bed to a chair next to the bed. The patient has full weight bearing on the right leg and partial weight bearing on the left leg. They use a walker when ambulating. Which of the following assistive devices would be appropriate for the transfer?

Gait belt with handles

Lateral-assist transfer board

Powered stand-assist aid

Powered full-body lift

Answer and Explanation

The Correct Answer is B

A. Gait belt with handles: A gait belt can provide support and stability during transfers, but it is generally used for walking rather than transferring directly from bed to chair.

B. Lateral-assist transfer board: A lateral-assist transfer board can help with moving the patient from bed to chair by sliding, making it appropriate for this transfer scenario.

C. Powered stand-assist aid: A powered stand-assist aid is typically used to help patients who need assistance standing and could be appropriate if the patient requires more support during the transfer.

D. Powered full-body lift: A powered full-body lift is generally used for patients who cannot bear weight at all and would not be necessary for a patient who can bear weight on one leg and use a walker.

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Correct Answer is A

Explanation

A. The client with a left lower extremity fracture. Somatic pain is related to damage to body tissues, such as fractures. This type of pain is typically localized and can be acute or chronic.

B. The client with a bowel obstruction. Pain from a bowel obstruction is typically visceral rather than somatic, as it involves internal organs.

C. The client with a skin tear to the upper extremity. While this involves the skin, it is typically considered superficial somatic pain, but the context of the question suggests a deeper musculoskeletal issue.

D. The client with pneumonia. Pain from pneumonia is usually visceral due to inflammation in the lungs.

A. “your children they cannot take away your driving privileges." B. "Driving is hard for older people, now you will have more time to try a new hobby." C. “This change can be difficult, let's explore alternative transportation methods" D. “Losing your privileges is awful, now you have to wait for someone else to drive you around."

Correct Answer is C

Explanation

A. “Your children, they cannot take away your driving privileges." This response is dismissive and does not address the safety concerns or explore alternative solutions. It may also ignore legal and practical considerations.

B. "Driving is hard for older people; now you will have more time to try a new hobby." This response does not directly address the individual's concerns and may come across as insensitive. It also does not explore practical alternatives for transportation.

C. "This change can be difficult; let's explore alternative transportation methods." This is the most appropriate response as it acknowledges the difficulty of the situation while offering practical support by exploring alternative transportation options.

D. “Losing your privileges is awful; now you have to wait for someone else to drive you around." This response is negative and does not provide constructive support. It may increase feelings of frustration or helplessness rather than addressing the issue constructively.

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The nurse is preparing to transfer a patient from the bed to a chair next to the bed. The patient has full weight bearing on the right leg and partial weight bearing on the left leg. They use a walker when ambulating. Which of the following assistive devices would be appropriate for the transfer?

Nursing Test Bank

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Correct Answer is A

Explanation

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