Which assessment finding indicates the need for assistive devices during mobilization and transfers?
Increased muscle strength and coordination.
Normal range of motion in all joints.
History of falls and unsteady gait.
Adequate upper body strength.
The Correct Answer is C
A history of falls and an unsteady gait indicate an increased risk of falls and the need for assistive devices during mobilization and transfers to ensure safety and prevent injuries.
Incorrect choices: a. Increased muscle strength and coordination may not necessarily require the use of assistive devices during mobilization and transfers. However, individual assessment is still necessary.
b. Having a normal range of motion in all joints does not directly indicate the need for assistive devices during mobilization and transfers.
d. Adequate upper body strength may be beneficial for certain transfers, but it does not solely determine the need for assistive devices. The overall safety and stability of the patient are more important considerations.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Providing clear instructions and explanations to the patient is an important nursing intervention for preventing falls during transfers. It helps ensure that the patient understands the transfer process, follows safety precautions, and cooperates during the transfer.
Incorrect choices:
b. Using a single caregiver for all transfers may not be feasible or safe in all situations. The number of caregivers required should be based on the patient's needs and the complexity of the transfer.
c. Assistive devices should be utilized when necessary to promote safety during transfers. Encouraging independence does not mean avoiding their use altogether.
d. Transferring the patient quickly can compromise safety and increase the risk of falls and injuries. Transfers should be performed with controlled and deliberate movements, ensuring the patient's stability and safety throughout the process.
Correct Answer is B
Explanation
Using a transfer belt is an effective nursing intervention to promote safe transfer techniques. It provides stability and support to the patient while allowing the caregiver to maintain proper body mechanics and reduce the risk of injury.
Incorrect choices:
a. Encouraging the patient to perform transfers independently without assistance can increase the risk of falls and injuries.
c. While sliding boards may be appropriate for some transfers, they may not be suitable for all patients or situations. The use of sliding boards should be based on the individual's assessment and care plan.
d. Rapidly lifting the patient is unsafe and can lead to injury for both the patient and the caregiver. Transfers should be performed with controlled movements and without haste.
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