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
Accepting pauses or silences that may extend for some time without interjecting a verbal response is considered therapeutic communication12.
Therapeutic communication is a collection of techniques that prioritize the physical, mental, and emotional well-being of patients1.
Deliberate silence can give both nurses and patients an opportunity to think through and process what comes next in the conversation1.
Choice A is not correct because accepting pauses or silences is not considered rude behavior.
Choice B is not correct because accepting pauses or silences is not considered a barrier to communication.
Choice D is not correct because accepting pauses or silences is not considered a form of verbal communication.
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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