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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. The visitor is wearing gloves, gown and a mask while in the room: This indicates proper use of standard and droplet precautions for a client with meningitis. Full personal protective equipment (PPE) helps prevent transmission of infectious agents. This demonstrates adherence to infection control guidelines.

B. The visitor is wearing only gloves while feeding the client in the room: Meningitis, particularly bacterial forms, is transmitted via respiratory droplets. Gloves alone do not protect against inhalation or contact with contaminated secretions. Inadequate PPE increases the risk of infection for the visitor and is a significant concern.

C. The visitor cleaned their hands when entering and leaving the room: Proper hand hygiene reduces the risk of transmitting pathogens to or from the client. Handwashing or using hand sanitizer is a key infection control measure. This practice supports patient and visitor safety.

D. The visitor removed their protective gear before leaving the room: Removing PPE before exiting the room is appropriate to prevent contamination of the external environment. Correct doffing of gear is essential to minimize spread of infectious agents.

A. Maintain intravenous (IV) access B. No weight bearing to the right lower leg C. Change wound dressing twice daily D. Perform skin assessment every 12 hours

Correct Answer is B

Explanation

A. Maintain intravenous (IV) access: IV access affects line management during movement but does not determine whether the client can safely bear weight or assist with a transfer. Tubing can be secured and managed during mobility. This order does not guide the transfer method or level of assistance required.

B. No weight bearing to the right lower leg: Weight-bearing status directly determines how a transfer should be performed and whether assistive devices or additional staff are required. Ignoring this restriction can result in injury, delayed healing, or surgical complications. This order is critical for safe transfer planning.

C. Change wound dressing twice daily: Dressing frequency relates to wound management rather than mobility or transfer technique. While wounds should be protected during movement, this order does not affect how the transfer is carried out. It is not a determining factor in transfer planning.

D. Perform skin assessment every 12 hours: Routine skin assessment supports pressure injury prevention but does not influence immediate mobility decisions. This order does not dictate positioning, weight bearing, or transfer assistance needs. Transfer safety depends more on musculoskeletal and mobility restrictions.

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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?

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Correct Answer is B

Explanation

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Correct Answer is B

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