The nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to discharge. What behavior(s) indicate the client understands how to maintain balance safely? Select all that apply.
Bends from the waist to pick trash off the floor.
Leans forward to pull a pan from a high shelf.
Locks knees while preparing food on the counter.
Widens stance while working near the sink.
Brings a heavy can close to body before lifting.
Correct Answer : D,E
A. Bending from the waist to pick up trash can cause imbalance and strain; it is safer to bend at the knees.
B. Leaning forward to pull a pan from a high shelf can lead to loss of balance; using a step stool is safer.
C. Locking the knees can lead to loss of balance and is not a recommended posture.
D. Widening the stance provides a stable base and helps maintain balance while working.
E. Bringing a heavy can close to the body before lifting uses proper body mechanics, reducing the risk of strain and promoting balance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Regression involves reverting to behaviors from an earlier developmental stage, which is not demonstrated in this scenario.
B. Suppression is the conscious decision to delay paying attention to a thought or feeling, which is not evident here.
C. Compensation involves making up for a perceived deficiency by emphasizing another trait or skill, which does not apply to this situation.
D. Sublimation is the process of channeling unacceptable impulses into socially acceptable activities. By vigorously working on the leather belt, the client is redirecting potentially aggressive energy into a constructive and creative outlet.
Correct Answer is A
Explanation
A. Abdominal rigidity in a client with a bowel obstruction due to a volvulus indicates possible peritonitis, which is a medical emergency.
B. Paralytic ileus with absent bowel sounds is concerning but not immediately life- threatening.
C. A nasogastric tube draining greenish fluid is expected in small bowel obstruction.
D. Abdominal distention in large intestine obstruction is concerning but less urgent than potential peritonitis.
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