A nurse is assisting a coworker with moving a client up in bed using a draw sheet. Which of the following actions should the nurse take?
Place both feet apart and shift from the back to the front leg when moving the client up in bed.
Position the client's arms at their sides prior to moving them up in bed.
Elevate the head of the client's bed 30° prior to moving the client.
Bend at the waist when grasping the draw sheet when moving the client up in bed.
The Correct Answer is A
Choice A rationale:
This choice reflects the correct technique for maintaining balance and using proper body mechanics when assisting with moving a client up in bed. Shifting weight from the back to the front leg while keeping the feet apart provides a stable base and reduces the risk of injury to the nurse.
Choice B rationale:
Positioning the client's arms at their sides before moving them up in bed is not a necessary step and may not contribute significantly to the process. The primary focus should be on proper body mechanics and the use of assistive devices, such as a draw sheet, to ensure safe patient handling.
Choice C rationale:
Elevating the head of the client's bed 30° is not directly related to the task of moving the client up in bed using a draw sheet. While head elevation might have other clinical indications, it does not impact the technique of assisting with repositioning.
Choice D rationale:
Bending at the waist when grasping the draw sheet is incorrect body mechanics and can lead to strain on the nurse's back. Proper technique involves using the legs to bend and lift while keeping the back straight, reducing the risk of injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
The correct answer is Choice A.
Choice A rationale: Administering enoxaparin 40 mg subcutaneously in the deltoid site is incorrect. Enoxaparin is typically administered in the abdomen or thigh to ensure proper absorption and minimize the risk of injury. Administering it in the deltoid requires an incident report for protocol deviation.
Choice B rationale: Advancing the urinary catheter 18 cm (7 in) is standard practice for male clients to ensure the catheter reaches the bladder. There is no indication of error or the need for an incident report as this action follows proper procedure.
Choice C rationale: Cleansing a wound with 0.99% sodium chloride irrigation prior to collecting a specimen for culture is standard practice. This action ensures the wound is free from surface contaminants and does not necessitate an incident report.
Choice D rationale: Flushing the tubing of a continuous enteral feeding with 30 mL of water is standard practice to maintain patency and ensure the effectiveness of the feeding. This procedure follows guidelines and does not require an incident report.
Correct Answer is A
Explanation
To calculate how many milliliters (mL) of diazepam oral solution should be administered, you can use the following formula:
Dose (mL) = Desired dose (mg) / Concentration (mg/mL)
In this case, the desired dose is 2 mg, and the concentration of the diazepam oral solution is 5 mg/1 mL.
Dose (mL) = 2 mg / 5 mg/mL = 0.4 mL
So, the nurse should administer 0.4 mL of diazepam oral solution with each dose. The correct answer is:
A) 0.4 mL.
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