Which of the following methods of transfer from the bed to a chair is the most appropriate for a patient who weighs 250 pounds and requires maximum assistance with transfers?

Walker

Draw sheet with two caregivers

Sliding Board

Mechanical Lift

Answer and Explanation

The Correct Answer is D

A. Walker: A walker is for clients who can bear some weight and participate in transfers, not for those requiring maximum assistance.
B. Draw sheet with two caregivers: This is more appropriate for repositioning in bed, not for safe transfer to a chair for a heavy client needing full assistance.
C. Sliding Board: A sliding board requires some upper body strength and minimal assistance-not suitable for maximum assist cases.
D. Mechanical Lift: A mechanical lift (e.g., Hoyer lift) is the safest option for transferring heavy clients who cannot assist themselves.

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Correct Answer is C

Explanation

A. Raise the height of the client's bed: Raising the bed too high can increase the risk of falls. The bed should be at a safe working height for the nurse and low enough for the client to place their feet on the floor.
B. Place the chair at a 90° angle to the bed: The chair should be placed at a 45° angle to the bed on the client's strong side (right side in this case) to make the transfer easier.
C. Lock the wheels on the client's bed: This ensures stability during the transfer and prevents the bed from moving, reducing the risk of falls or injury.
D. Place the chair on the client's left side: Since the client has left-sided weakness, the chair should be placed on the right (strong) side to facilitate a safer and easier transfer.

A. Supine B. Trendelenburg C. Fowler's D. Sims'

Correct Answer is B

Explanation

A. Supine: The client lies flat on their back with no tilt. This position does not help mobilize secretions from the lower lungs.
B. Trendelenburg: In this position, the head is lower than the feet, using gravity to help drain secretions from the lower lobes of the lungs.
C. Fowler's: The client is in a semi-sitting position (head elevated). This is used for breathing ease but not effective for postural drainage.
D. Sims': This is a semi-prone position used for enema administration or rectal examinations, not for mobilizing lung secretions.

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Which of the following methods of transfer from the bed to a chair is the most appropriate for a patient who weighs 250 pounds and requires maximum assistance with transfers?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to transfer a client who has left-sided weakness from a sitting position in bed to a chair. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is instructing a client about postural drainage. The nurse should have the client lie with his head lower than his feet to mobilize secretions and understands this position to be which of the following?

Correct Answer is B

Explanation

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