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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The temperature and respiratory rate in this set are within normal limits. However, the low pulse rate and the high blood pressure are significant findings that require further evaluation. A pulse rate of 54 bpm may indicate a slow heart rate, which can lead to decreased cardiac output and other related symptoms.
A blood pressure of 196/114 mmHg is significantly higher than normal and may indicate hypertension, which can lead to serious health complications if left untreated.
Correct Answer is A
Explanation
A complication that may result from decreased mobility is pressure injuries (also known as pressure ulcers or bedsores). When a person remains in one position for extended periods of time, the pressure from their body weight can cause damage to the skin and underlying tissues, particularly in bony areas.
Diarrhea, euphoria, and increased energy are not typically associated with decreased mobility. Diarrhea may be caused by a variety of factors such as infections, food intolerances, or certain medications. Euphoria and increased energy may be associated with certain medical conditions or drug use, but are not directly related to decreased mobility.
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