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 lithotomy position
The Correct Answer is C
The priority action of the nurse to ensure client safety during a transfer from the bed to a wheelchair is to lock the wheels of the wheelchair. This will prevent the wheelchair from moving and provide a stable surface for the client to transfer onto.
Encouraging the client to push up from the wheelchair is not a safe option, as it could result in the client losing their balance and falling.
Ensuring the client is bathed before getting into the wheelchair is not directly related to client safety during the transfer.
Placing the bed in the lithotomy position, which involves positioning the client with their feet in stirrups and their legs elevated, is not necessary for a transfer to a wheelchair and could potentially increase the risk of injury.
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Related Questions
Correct Answer is C
Explanation
Cleaning liquids are most likely to be accessed by children and cause poisoning. Locking them is therefore a very useful precaution.
A, B and D are wrong as prescription medicines are least likely to be accessed by children and cause poisoning.
Correct Answer is C
Explanation
If a client begins to fall while the nurse is assisting with ambulation, the priority nursing intervention is to guide the client safely to the floor. The nurse should assist the client to fall as safely as possible to prevent further injury. The nurse should also stay with the client, assess their condition, and call for assistance if necessary.
Initiating a code or calling the client's doctor may not be necessary at this time, as the client's condition may not require such drastic measures. Similarly, calling the charge nurse may be helpful, but it is not the priority intervention in this scenario.
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