A nurse is caring for a client who is recovering from a stroke. Which of the following information should the nurse include when reinforcing teaching with members of the client's family about repositioning the client?
(Select All that Apply.)

Elevate the bed to waist height.

Position the client toward the edge of the bed on the side the client will face after turning.

Remove pillows prior to repositioning.

Stand with their feet wide apart.

Answer and Explanation

Correct Answer : A,B,D,E

A. Elevate the bed to waist height: Raising the bed to waist level promotes proper body mechanics and reduces back strain for caregivers.
B. Position the client toward the edge of the bed on the side the client will face after turning: This makes repositioning easier and safer, allowing for better leverage and control.
C. Remove pillows prior to repositioning: Pillows may support body parts during turning and should be removed only if they obstruct repositioning, not as a general rule.
D. Stand with their feet wide apart: A wide base of support ensures better balance and stability when repositioning a client.
E. Face the direction of movement when repositioning the client: Facing the direction of movement maintains spinal alignment and prevents twisting injuries.

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Correct Answer is C

Explanation

A. Obtain a soft mattress for the client's bed: Soft mattresses do not provide the support needed to prevent pressure ulcers in immobilized clients.
B. Position soft pillows against the bottom of the feet: Pillows at the bottom of the feet may cause plantar flexion, leading to foot drop.
C. Use a special boot to maintain dorsiflexion of the feet: Boots or footboards help maintain neutral alignment and prevent foot drop, a common complication in paralyzed or immobile clients.
D. Cross the client's legs at the ankles: Crossing legs can impede circulation and increase the risk of pressure injury or deep vein thrombosis (DVT).

A. Activate the fire alarm system. B. Confine the fire by closing doors and windows. C. Rescue the client from immediate danger. D. Extinguish the fire if possible.

Correct Answer is C

Explanation

A. Activate the fire alarm system: This is important but comes after rescuing anyone in immediate danger.
B. Confine the fire by closing doors and windows: This helps prevent fire spread, but rescue comes first.
C. Rescue the client from immediate danger: According to the RACE acronym for fire response-Rescue, Alarm, Confine, Extinguish-the first step is always to rescue those in immediate danger.
D. Extinguish the fire if possible: Only attempt this if it is safe and others are not in danger.

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A nurse is caring for a client who is recovering from a stroke. Which of the following information should the nurse include when reinforcing teaching with members of the client's family about repositioning the client? (Select All that Apply.)

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A nurse is caring for a client who is recovering from a stroke. Which of the following information should the nurse include when reinforcing teaching with members of the client's family about repositioning the client? (Select All that Apply.)

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A nurse is caring for a client who is recovering from a stroke. Which of the following information should the nurse include when reinforcing teaching with members of the client's family about repositioning the client?
(Select All that Apply.)