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Having the client put both arms around the nurse’s neck is unsafe, as it compromises the nurse’s balance and risks injury. Right-sided hemiplegia from a left CVA impairs the right arm’s strength, reducing grip reliability. This method does not leverage the client’s stronger left side, increasing fall risk and straining the nurse’s musculoskeletal system during the transfer.

Instructing slow, deep breaths may reduce anxiety but does not address physical transfer mechanics. Right-sided hemiplegia requires leveraging the left side’s strength, as the right side lacks motor control post-CVA. Breathing techniques do not compensate for impaired muscle coordination or balance, making this less effective for ensuring a safe wheelchair transfer.

Instructing the client to look at their feet may disrupt balance by shifting focus downward, increasing fall risk. Right-sided hemiplegia requires the client to rely on the left side’s proprioception and strength. Visual focus should remain forward to maintain posture and spatial awareness, making this an inappropriate action for a safe transfer.

Asking the pharmacist for another dose is premature without first addressing the error. A double dose risks toxicity, as it may saturate drug receptors or disrupt homeostasis, depending on the medication’s pharmacokinetics. Withholding the dose and reporting the mismatch ensures a systematic resolution, preventing harm and clarifying the correct dose needed.

Reporting the mismatch is important but not the immediate action. Administering a double dose could cause adverse effects, like organ toxicity, due to excessive drug concentration. Withholding the medication prevents harm, allowing time to report and resolve the error, ensuring patient safety and adherence to accurate prescribing protocols.

Calculating the dose on hand to match the prescribed dose risks error, as the scanned dose is already incorrect. Manipulating a double dose may lead to inaccurate administration, affecting drug efficacy or safety due to improper receptor binding or metabolism. Withholding ensures no harm while the correct dose is verified.

Washing hands after administration is less critical than before to prevent contamination. Avoiding dropper contact with the eye prevents infection, a priority for miotic drops. Post-administration handwashing is secondary, per infection control and ophthalmic medication administration standards in nursing.

Squeezing the eye closed may cause discomfort or medication leakage, reducing efficacy. Avoiding dropper contact ensures sterility, preventing infections in glaucoma management. This action is not standard, per ophthalmic medication administration and patient safety protocols in eye care nursing.

Administering drops directly on the cornea risks injury and discomfort. Drops should be placed in the conjunctival sac. Avoiding dropper contact prevents infection, a priority. This is incorrect, per ophthalmic medication administration and patient safety standards in glaucoma care.

Lifting and locking side rails enhances safety but does not address OSA’s primary risk: airway obstruction. OSA involves repetitive pharyngeal collapse, reducing oxygen saturation. Side rails prevent falls but do not maintain airway patency, making this less critical than applying a positive airway pressure device to ensure breathing during sleep.

Elevating the head of the bed to 45 degrees reduces airway collapse in OSA by aligning the pharynx but is less effective than positive airway pressure (CPAP). CPAP delivers continuous pressure to keep airways open, directly addressing hypoxemia. Elevation is supportive but secondary to CPAP, which ensures consistent oxygenation overnight.

Removing dentures may improve comfort but does not address OSA’s airway obstruction. Dentures do not significantly affect pharyngeal collapse, the primary issue in OSA, which reduces airflow and oxygenation. CPAP directly prevents collapse, making denture removal less critical than ensuring the device is applied for safe sleep.

The analgesic topical patch, replaced every 24 hours, provides steady pain relief via transdermal absorption. Its long duration makes timing less critical than an antibiotic, which requires precise intervals to maintain bactericidal levels. Delaying the patch slightly does not risk treatment failure, unlike antibiotics, making this lower priority.

The diuretic, given every 12 hours, promotes fluid excretion, affecting renal sodium reabsorption. Its schedule allows some flexibility compared to a 6-hour antibiotic dose, which is critical for infection control. Delaying the diuretic slightly poses less risk than missing an antibiotic window, which could allow bacterial proliferation, so this is less urgent.

The antianxiety agent, given daily, modulates GABA receptors to reduce anxiety but lacks the time urgency of an antibiotic. Missing a 6-hour antibiotic dose risks subtherapeutic levels, promoting resistance. The antianxiety agent’s daily schedule allows flexibility, making it less critical to administer first compared to infection control needs.

Adjusting the flow rate is premature if the hissing indicates a faulty connection, which could reduce oxygen delivery. Shortness of breath requires adequate oxygenation to prevent hypoxemia, affecting cellular ATP production. Ensuring a secure flowmeter connection resolves the leak, guaranteeing prescribed oxygen levels before adjusting flow.

Assessing the mask position is irrelevant if the hissing originates from the flowmeter, indicating a connection issue. Proper oxygen delivery depends on a sealed system to maintain pressure and flow. A loose flowmeter reduces oxygen to alveoli, worsening dyspnea, making reinserting the flowmeter the priority to restore airflow.

Attaching a humidification canister is secondary to fixing a hissing flowmeter, which indicates a leak reducing oxygen delivery. Shortness of breath requires immediate restoration of airflow to improve alveolar oxygenation. A secure flowmeter connection ensures effective oxygen therapy, prioritizing it over humidification, which addresses comfort rather than urgency.

Demonstrating medication administration teaches, not evaluates understanding. Inquiring about frequency confirms the client’s knowledge of the regimen, ensuring adherence. Demonstration is an instructional method, not an assessment tool, per patient education and medication safety standards in nursing practice.

Asking for additional questions identifies gaps but does not directly assess understanding of the regimen. Inquiring about frequency evaluates specific knowledge critical for adherence. Questions are supplementary, per patient education and comprehension assessment principles in medication teaching protocols.

Recognizing confusion is part of teaching but not a direct evaluation of understanding. Inquiring about frequency tests retention of key information, ensuring safe administration. Confusion assessment is indirect, per medication education and patient comprehension standards in nursing care.

Sending the UAP for N95 fitting is unnecessary, as meningococcal pneumonia requires droplet precautions, not airborne. Droplet transmission involves large particles, blocked by standard masks within 6 feet. N95 masks are for airborne diseases (e.g., tuberculosis), which involve smaller aerosols, making this action excessive and inefficient for safe care.

Advising a standard mask for vital signs and N95 for personal care is incorrect, as meningococcal pneumonia requires only droplet precautions. Standard masks protect against droplet transmission during close contact. Requiring N95 overcomplicates care, as it’s designed for airborne pathogens, not relevant here, risking confusion and resource misuse.

Determining staff with fitted N95 masks is irrelevant, as meningococcal pneumonia requires droplet, not airborne, precautions. Standard masks suffice for droplet transmission, preventing bacterial spread via respiratory secretions. N95 masks are for smaller aerosols, not applicable here, making reassignment based on N95 fitting unnecessary and inefficient.

Assuring the immunization is less painful may dismiss the adolescent’s fear, increasing anxiety. Pain perception involves the somatosensory cortex and emotional response via the amygdala. Distraction reduces pain signaling by engaging cognitive attention elsewhere, making it more effective than verbal reassurance, which does not address the psychological fear of injections.

Reviewing the immunization’s importance educates but does not alleviate immediate fear of pain. Fear activates the sympathetic nervous system, heightening pain perception. Distraction redirects neural focus, reducing pain signals in the brain’s pain matrix, making it a better strategy than education, which addresses long-term understanding, not acute anxiety.

Inviting the client to use a syringe on a dummy may increase anxiety by focusing on the injection process, reinforcing fear. Pain perception is amplified by anticipatory stress, engaging the prefrontal cortex. Distraction minimizes pain signaling by diverting attention, making it more effective than hands-on exposure, which could heighten distress.

Bending at the waist to hang a urinary unit risks back injury, as it violates body mechanics. Standing erect with bent knees uses leg muscles, reducing strain. This incorrect posture increases musculoskeletal injury risk, per ergonomic and safe patient handling guidelines in nursing.

Stretching over the mattress to pick up an item strains the back and shoulders, ignoring body mechanics. Standing erect with bent knees ensures safe movement. This action risks injury, contradicting ergonomic principles, per safe patient handling and occupational safety standards in healthcare.

Pushing a drawer closed with the hip avoids proper body mechanics, risking strain or injury. Standing erect with bent knees during client movement is safer. This action is unrelated to client care safety, per ergonomic and safe handling protocols in nursing practice.