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 C
Explanation
The priority responsibility of the nurse is to call for a Cambodian interpreter.
This ensures that the mother’s needs and concerns are accurately communicated and understood.
It also helps to prevent any misunderstandings or miscommunications that could occur if the daughter were to interpret.
Choice A is not an appropriate response because calling the chaplain for support may not address the language barrier.
Choice B is not an appropriate response because allowing unlicensed assistive personnel to interpret could result in inaccurate or incomplete information being conveyed.
Choice D is not an appropriate response because continuing to work with the daughter for interpretation could result in misunderstandings or miscommunications.
Correct Answer is ["A","B","C"]
Explanation
Reduced muscle strength, sensory losses like vision and hearing, and slowing of reflexes are all expected physiological changes of the older adult that can put them at risk of falls.
Reduced muscle strength can make it more difficult for older adults to maintain balance and stability.
Sensory losses like vision and hearing can affect an older adult’s ability to perceive their environment and navigate safely.
Slowing of reflexes can make it more difficult for older adults to react quickly to changes in their environment and prevent falls.
Choice D is not an answer because dementia is not a physiological change but rather a cognitive condition that can increase the risk of falls.
Choice E is not an answer because the inability to adapt is not a specific physiological change but rather a general characteristic that can increase the risk of falls.
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