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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hold the cane on the left side: The cane should be held on the stronger (unaffected) side (in this case, the left) to provide balance and support for the injured right leg.
B. Place the cane 46 cm (18 in) in front of her feet before advancing: The cane should only be placed about 15–25 cm (6–10 in) in front to maintain stability.
C. Adjust the height of the cane so the arm is straight during use: The elbow should be slightly flexed (~20–30 degrees) for optimal balance and comfort.
D. Remove the rubber tip from the end of the cane: The rubber tip is essential for traction and to prevent slipping.
Correct Answer is A,D,B,C
Explanation
A. Remove the clients from the room: Rescue any persons in immediate danger first (R in RACE).
D. Activate the fire alarm: Next, activate the alarm system to alert others (A in RACE).
B. Close the door: Confine the fire by closing doors and windows to prevent spread (C in RACE).
C. Extinguish the fire: Attempt to extinguish the fire only if it is small and you are trained to do so (E in RACE).
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