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 A
Explanation
This scenario is an example of cultural imposition. The nurse is imposing her own beliefs and values regarding infant safety onto the African mother, without considering the cultural context in which the mother is from.
To provide culturally competent care, it is important to respect and understand different cultural practices and beliefs, and work collaboratively with clients to develop safe and effective care plans that are culturally appropriate.
Correct Answer is A
Explanation
Bounding pulses are a feature of high cardiac output states such as pregnancy, thyrotoxicosis, anemia.
Coolness especially of the extremities is a sign of reduced perfusion to the extremities. Pallor is a sign of anemia and reduced perfusion due to low hemoglobin levels. Cyanosis is a feature of reduced oxygen supply which is a result of reduced perfusion.
Other signs of inadequate perfusion are hypotension, delayed capillary refill time, dry mucous membranes, poor skin turgor, restlessness, dysrhythmias, dizziness, tachycardia and diaphoresis.
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