When assisting a client from the bed into a wheelchair, the nurse assesses the client on standing and notices the client is weak and unsteady. What would be the recommended nursing intervention in this situation?
Return the client to the bed.
Use the call bell to summon the assistance of another nurse.
Place the client into the wheelchair.
Allow the client to keep standing for several minutes until balance returns.
The Correct Answer is A
A. Returning the client to the bed is the safest action when the client appears weak and unsteady upon standing. This helps prevent a potential fall or injury. Once the client is safely back in bed, the nurse can reassess and consider other options for mobility support.
B. Using the call bell may take time and does not ensure the client’s immediate safety, which is the priority in this moment.
C. Placing the client into the wheelchair while they are unsteady poses a high risk for falls or injury.
D. Allowing the client to continue standing may worsen the situation if they are already weak, increasing the risk of collapse or injury.
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Related Questions
Correct Answer is C
Explanation
A. Limited transportation is a barrier but secondary to more urgent needs.
B. Decreased access to healthcare is important but often results from unmet basic needs.
C. Basic human needs going unmet (such as food, shelter, and safety) is the most critical factor affecting overall health and well-being.
D. Increased disease risk is a consequence of unmet needs, making it less immediate than addressing basic needs first.
Correct Answer is D
Explanation
A. Private law deals with disputes between private individuals or organizations, such as contracts or family law.
B. Public law governs relationships between individuals and the government but is a broader category that includes criminal law.
C. Civil law involves noncriminal disputes, such as negligence or malpractice cases.
D. Criminal law involves offenses against society or the state, such as possession of illegal drugs, and can lead to prosecution, penalties, or imprisonment.
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