A nurse is observing an assistive personnel (AP) changing the linens on the bed of a client who is immobile. Which of the following actions by the AP should the nurse identify as an indication of the need to intervene?
Rolls the client to one side of the bed
Reaches over the bed to straighten the fitted sheet
Lowers the side rail on the side of the bed closest to the AP
Raises the bed to waist level
The Correct Answer is B
A. Rolling the client to one side of the bed is an appropriate action to change the linens.
B. Reaching over the bed to straighten the fitted sheet can cause strain and potential injury to the AP's back and should be corrected.
C. Lowering the side rail on the side of the bed closest to the AP is necessary for changing the linens safely.
D. Raising the bed to waist level is an appropriate action to ensure proper body mechanics and prevent injury.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E","F"]
Explanation
A. Pneumococcal vaccine → Not having it increases risk, but the option itself (“Pneumococcal vaccine”) is misleading; risk comes from lack of vaccine, not its presence.
B. Level of consciousness → Client is lethargic and has difficulty answering questions, which can increase risk of aspiration and reduce effective airway clearance.
C. Influenza vaccine → Similarly, not getting the vaccine is a risk, but the option is phrased as “Influenza vaccine,” which is protective, not a risk factor.
D. Health history → Lack of pneumococcal and influenza vaccinations increases susceptibility to respiratory infections.
E. Fluid intake → Client reports reduced fluid intake, leading to thickened secretions, impaired mucociliary clearance, and higher risk of pneumonia.
F. Age → Middle-aged and older adults are at higher risk for pneumonia due to decreased physiologic reserve.
G. Smoking history → Smoking history is incorrect. While a history of smoking, or exposure to second-hand smoke, increases a client’s risk of contracting community-acquired pneumonia, the client reports no smoking history.
Correct Answer is B
Explanation
A. Hepatitis is not a known adverse effect of calcium supplementation.
B. Renal stones (kidney stones) are a potential adverse effect of excessive calcium intake, and flank pain is a common symptom of kidney stones.
C. Hip fractures are a concern with osteoporosis but not an adverse effect of calcium supplementation.
D. Pancreatitis is not a known adverse effect of calcium supplementation.
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