The nurse is teaching the unlicensed assistive personnel (UAP) about safety when caring for clients with limited movement. Which action by the UAP indicates to the nurse that the UAP understands the information?

Consult the posted mobility algorithm for client transfers.

Keep the feet together and bend at the waist when lifting.

Use a pulling motion when transferring and moving a client.

Avoid lifting more than 45 pounds (18 kg) independently.

Answer and Explanation

The Correct Answer is A

A. Consult the posted mobility algorithm for client transfers: Mobility algorithms provide structured guidance to safely assist clients with varying degrees of mobility. Referring to these algorithms ensures that transfers are done safely using appropriate equipment or assistance based on the client’s needs.

B. Keep the feet together and bend at the waist when lifting: This action increases the risk of back injury due to poor body mechanics. Proper lifting technique involves bending at the knees and keeping feet shoulder-width apart for better stability and spinal alignment.

C. Use a pulling motion when transferring and moving a client: Pulling can strain the back and shoulders of the caregiver and may cause harm to the client. A pushing motion is safer and allows better control during movement or repositioning.

D. Avoid lifting more than 45 pounds (18 kg) independently: While avoiding heavy lifting is important, the standard maximum safe lifting weight varies and should be guided by facility policy and ergonomic recommendations.

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Correct Answer is A

Explanation

A. Fluid volume deficit: Diarrhea places the client at high risk for dehydration, which can lead to electrolyte imbalances, hypotension, and worsening of the client’s condition. This is the most urgent, life-threatening issue and requires immediate attention.

B. Bowel incontinence: While significant for skin integrity and dignity, it is a symptom that can be managed once fluid balance is addressed. It is not immediately life-threatening.

C. Caregiver role strain: Important for long-term management and support, but it does not pose an immediate physiological threat to the client and is lower in priority in the acute setting.

D. Impaired bed mobility: Relevant to pressure injury prevention and comfort, but it is a lower priority than addressing active fluid losses that can quickly compromise the client’s health status.

A. Picks up an item on the far side of the bed by stretching over the mattress. B. Pushes the lower drawer of the medication cart closed using one's hip. C. Stands erect with knees bent to pull a draw sheet and move the client in bed. D. Bends at the waist to hang a urinary bedside unit on the bed frame.

Correct Answer is C

Explanation

A. Picks up an item on the far side of the bed by stretching over the mattress: Reaching across the bed places strain on the back and shoulders, increasing the risk for musculoskeletal injury due to improper body mechanics.

B. Pushes the lower drawer of the medication cart closed using one's hip: Using the hip to close drawers may seem efficient but increases the risk for imbalance and injury over time, especially to joints and the lower back.

C. Stands erect with knees bent to pull a draw sheet and move the client in bed: This demonstrates proper body mechanics by maintaining a straight back and using leg muscles rather than the back, reducing the risk of injury during lifting or repositioning tasks.

D. Bends at the waist to hang a urinary bedside unit on the bed frame: Bending at the waist instead of the knees places stress on the lower back. Proper technique requires bending at the knees and maintaining a straight spine.

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