A nurse is assisting with a transfer from the bed to a wheelchair.
Which of the following is a priority action of the nurse to ensure client safety?
Encourage the client to push up from the wheelchair.
Ensure the client is bathed before getting into the wheelchair.
Lock the wheels of the wheelchair.
Place the bed in the trendelenburg position.
The Correct Answer is C
Locking the wheels of the wheelchair is a priority action of the nurse to ensure client safety during a transfer from the bed to a wheelchair.
This prevents the wheelchair from moving or rolling away during the transfer, which could result in injury to the client.
Choice A is not an appropriate response because encouraging the client to push up from the wheelchair may not be safe or feasible for all clients.
Choice B is not an appropriate response because ensuring the client is bathed before getting into the wheelchair is not directly related to client safety during the transfer.
Choice D is not an appropriate response because placing the bed in the trendelenburg position could make it more difficult for the client to transfer
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A surgical sponge left in a client’s incision is a “never event”.
A “never event” is a serious, largely preventable safety incident that should not occur if the available preventative measures are implemented1.
These events include things like wrong-site surgery or foreign objects left in a person’s body after an operation2.
Choice A is incorrect because no blood incompatibility during a blood transfusion is not a “never event”.
Choice C is incorrect because a client falling in their own home is not a “never event”.
Choice D is incorrect because inserting a urinary catheter before surgery is not a “never event”.
Correct Answer is D
Explanation
Encouraging bed rest would be an inappropriate nursing intervention to promote mobility for a client with decreased mobility.
Bed rest can lead to further complications of immobility1.
Choice A is not an answer because teaching the client to do active range of motion (AROM) exercises every 2 hours can help maintain joint mobility and muscle strength2.
Choice B is not an answer because evaluating the client’s need for ambulatory aids can help them move safely and independently1.
Choice C is not an answer because keeping skin clean and dry is important for preventing skin breakdown, which can be a complication of immobility1.
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