The practical nurse (PN) is turning a dependent bedridden client without assistance. Which action will best ensure the client's safety?

Slide hands under the client's lumbar area and knees.

Turn the client away from the PN using a turning sheet.

Put the bed rails up on the opposite side of the bed.

Grasp the client's hand to pull the client towards the PN.

Answer and Explanation

The Correct Answer is B

A. Sliding hands under the lumbar area and knees can cause strain on the PN’s back and is not the safest method for turning a dependent client.
B. Using a turning sheet to turn the client away from the PN is the safest method for moving a dependent client, as it uses a proper technique that minimizes injury risk for both the client and the PN.
C. Raising bed rails on the opposite side may increase the risk of injury or falls, and is not directly related to the safe turning of the client.
D. Grasping the client's hand to pull them is unsafe and could cause injury or discomfort to both the client and the PN, especially when turning a dependent client.

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Correct Answer is D

Explanation

A. C-reactive protein level is a general marker for inflammation and can indicate infection, but it does not provide specific information about the wound infection.
B. Serum albumin is important for assessing nutritional status and wound healing potential, but it does not directly address the acute issue of a possible wound infection.
C. Serum blood glucose level is significant, especially in clients with diabetes, as high glucose can impair healing and increase infection risk. However, it does not directly provide information about the infection itself.
D. Culture for sensitive organisms is the most relevant lab value to evaluate before reporting to the healthcare provider. It identifies the specific pathogens causing the infection and guides appropriate antibiotic treatment.

A. Explore the client's thoughts about dying. B. Propose to notify the family of the request. C. Suggest that the hospital chaplain is available. D. Offer to contact the priest for the client.

Correct Answer is D

Explanation

A. Exploring the client’s thoughts about dying is supportive but not the immediate priority when a specific request for a religious ritual is made.
B. Notifying the family of the request is a secondary action but should follow the immediate fulfillment of the client's request for spiritual support.
C. Suggesting that the hospital chaplain is available might be appropriate, but the client's specific request was for a priest, and it is better to offer to contact the priest directly.
D. Offering to contact the priest for the client directly addresses the client's immediate spiritual need and respects their request.

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The practical nurse (PN) is turning a dependent bedridden client without assistance. Which action will best ensure the client's safety?

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Correct Answer is D

Explanation

The practical nurse (PN) is caring for a hospice client who requests a priest for the "Last Rites." Which should be the next response by the PN?

Correct Answer is D

Explanation

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