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 D
Explanation
The best intervention by the nurse to prevent further skin and tissue breakdown on a reddened area on a client’s right heel is to relieve pressure from the right heel1.
Heels are particularly vulnerable to skin breakdown and when patients lie supine, all of the pressure of their lower legs and feet rest on the heels1.
Preventing heel ulcers primarily involves the use of simple devices, like pillows and offloading devices, to protect delicate heels1.
Choice A is not correct because documenting the reddened area alone will not prevent further skin and tissue breakdown.
Choice B is not correct because asking the client how the area became reddened alone will not prevent further skin and tissue breakdown.
Choice C is not correct because assessing the client’s diet alone will not prevent further skin and tissue breakdown.
Correct Answer is C
Explanation
Inducing vomiting is not always the appropriate first aid response for poisoning and can sometimes be harmful.
It is important to call the poison control center for guidance on what to do if you suspect poisoning1.
Choice A is not an answer because taking prescription medications only as prescribed can help prevent accidental poisoning1.
Choice B is not an answer because sharing prescription medications can be dangerous and lead to accidental poisoning2.
Choice D is not an answer because having the phone number for the poison control center easily accessible can help you quickly get guidance on what to do in case of suspected poisoning1.
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