A certified nursing assistant (CNA) is assisting a patient into a wheelchair. The nurse intervenes if the CNA has:
left the patient with the lap robe tucked underneath.
left the brakes of the wheelchair unlocked.
placed the patient's feet centered on the footrests.
placed slippers on the patient.
The Correct Answer is B
A. Left the patient with the lap robe tucked underneath.
A lap robe is used for warmth and comfort; tucking it under does not pose a risk.
B. Left the brakes of the wheelchair unlocked.
Wheelchair brakes must be locked during transfers to prevent the chair from moving and causing a fall.
C. Placed the patient's feet centered on the footrests.
Feet should be properly placed to avoid dragging or injury.
D. Placed slippers on the patient.
This is appropriate as long as the slippers are non-skid, providing safe footing during transfer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Elevate the foot:
Elevation helps reduce swelling by promoting venous return.
B. Encourage range-of-motion exercises of the foot:
Movement should be limited until the injury is evaluated to prevent further damage.
C. Provide the client with a light snack:
This can be appropriate if there are no contraindications, especially if the client has been waiting and is hungry. It doesn’t worsen the injury and supports comfort.
D. Apply a compression bandage:
Compression helps reduce swelling and provides support to the injured joint.
E. Apply ice to the ankle:
Ice reduces inflammation and helps with pain management during the acute phase of a soft-tissue injury.
Correct Answer is B
Explanation
A. Reassess the area in 8 hours
Delaying action may result in wound dehiscence or further tissue damage.
B. Stop the machine and notify the primary care provider
Signs of wound stress (opening, tightness) require immediate discontinuation of the CPM and notification of the provider to prevent further damage.
C. Increase the angle of the flexion of the joint to change the pressure on the heel
Increasing the angle may worsen the wound separation and increase pressure on the incision.
D. Pad the portion of the machine that the heel rests on
Padding may prevent pressure injury but does not address the wound issue or tightness from movement.
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