A nurse is caring for a client who has acute pancreatitis. After treating the client’s pain, which of the following should the nurse address as the priority intervention?

Choice A reason: Transporting a school-age client who is in traction to another department is unsafe for a volunteer. Traction involves the use of weights and pulleys to align or immobilize a part of the body, typically after a fracture. This requires careful handling and monitoring to ensure the traction remains effective and does not cause additional injury. Only trained healthcare professionals should manage and transport clients in traction to prevent complications.

Choice B reason: Reading a book to a preschool client who has AIDS is a safe and appropriate assignment for a volunteer. AIDS (Acquired Immunodeficiency Syndrome) is not transmitted through casual contact such as reading a book together. Volunteers can provide emotional support and companionship to children with AIDS without risk of transmission.

Choice C reason: Playing a computer video game with an adolescent who has sickle cell disease is also a safe and suitable activity for a volunteer. Sickle cell disease is a genetic disorder that affects the shape of red blood cells, leading to various complications. However, it is not contagious, and engaging in recreational activities can help improve the adolescent’s quality of life and provide a sense of normalcy.

Choice D reason: Rocking an infant who was admitted for croup is a safe task for a volunteer. Croup is a respiratory condition characterized by a barking cough, often caused by a viral infection. While it can be contagious, the risk of transmission can be minimized with proper hygiene practices. Volunteers can provide comfort and soothing to infants with croup under the supervision of healthcare staff.

Choice A reason:

Walking in front of the client to guide her in moving the walker is not recommended. The nurse should walk beside or slightly behind the client to provide support and ensure safety. Walking in front can obstruct the nurse’s view of the client’s movements and make it difficult to assist if the client loses balance.

Choice B reason:

Ensuring that the upper bar of the walker is level with the client’s waist is incorrect. The correct height for the walker is when the client’s elbows are slightly bent (about 15-30 degrees) when holding the handgrips. This allows for better control and reduces the risk of falls.

Choice C reason:

Having the client move one leg forward with the walker is not the correct technique. The client should first lift the walker and place it a short distance ahead, then step forward with the weaker leg first, followed by the stronger leg. This method provides better stability and support.

Choice D reason:

Checking that the client lifts the walker and then places it down in front of her is the correct action. This ensures that the walker is used properly, providing maximum support and reducing the risk of tripping or falling. The client should lift the walker, move it forward, and then step into the walker area.