The nurse provides education to the caregiver of an older adult client who requires a gait belt for ambulation. Which statement by the caregiver indicates an understanding of the education?
"The gait belt should be placed around the client's chest."
"The use of the gait belt still requires significant back strength."
"The gait belt should remain on the client throughout the day."
"The gait belt should be placed over appropriate clothing."
The Correct Answer is D
A. "The gait belt should be placed around the client's chest.": The gait belt should be positioned around the client’s waist, not the chest, to provide safe leverage and prevent injury. Placement over the chest can restrict breathing and increase the risk of falls or injury.
B. "The use of the gait belt still requires significant back strength.": Proper use of a gait belt allows the caregiver to assist the client safely without relying on excessive back strength. Emphasizing leverage and body mechanics reduces caregiver strain, so significant back strength is not required.
C. "The gait belt should remain on the client throughout the day.": The gait belt is intended for use only during transfers or ambulation. Leaving it on continuously can cause skin irritation and is unnecessary when the client is stationary.
D. "The gait belt should be placed over appropriate clothing.": Placing the gait belt over clothing provides comfort, prevents skin injury, and ensures a secure grip during ambulation. This statement reflects proper understanding of safe gait belt use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Skip oral care due to unconsciousness: Oral care is essential for unconscious clients to prevent mucosal breakdown, infection, and ventilator-associated complications. Skipping oral care increases the risk of bacterial overgrowth and aspiration. Consciousness level does not eliminate the need for hygiene.
B. Use warm water and soap for bathing: Warm water with mild soap promotes comfort, removes dirt and oils, and maintains skin integrity. Maintaining appropriate water temperature prevents hypothermia and enhances patient tolerance during hygiene procedures.
C. Perform hygiene without donning gloves: Gloves are necessary to protect both the client and nurse from pathogens present in body fluids or secretions. Performing hygiene without gloves increases the risk of infection transmission. Standard precautions must always be followed.
D. Utilize unused linens from another client: Using linens from another client violates infection control principles and can transmit pathogens. Each client requires their own clean linens to prevent cross-contamination.
Correct Answer is D
Explanation
A. A client with emphysema on 2 liters of oxygen: This client has respiratory compromise but may be able to assist with mobility. Using a mechanical lift is not routinely necessary if the client can bear some weight or ambulate with assistance. Standard transfer techniques may be sufficient.
B. A client with limited mobility of the left foot: Limited foot mobility typically does not prevent weight-bearing or safe transfers. The client may require minimal assistance or a gait device rather than a mechanical lift. Full-body lifting equipment is not indicated.
C. An older adult client with a humeral fracture: A humeral fracture requires careful handling of the affected arm, but the client may still be able to assist with transfers. Mechanical lifts are generally reserved for clients who are unable to bear weight safely or require total support.
D. A bariatric client with a spinal cord injury: A bariatric client with complete or partial paralysis from a spinal cord injury is at high risk for injury to both the client and staff during manual transfers. A mechanical lift provides safe, full-body support, minimizes musculoskeletal strain for caregivers, and ensures secure handling of a client with significant weight and mobility limitations.
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