A nurse is observing an assistive personnel (AP) transferring a client to a wheelchair. Which of the following actions by the AP indicates proper transfer technique?

Locks the wheelchair after transferring the client

Places the bed in a high position before transferring the client to the wheelchair

Uses a narrow stance when assisting the client to the wheelchair

Positions the wheelchair parallel to the client's bed

Answer and Explanation

The Correct Answer is D

A. Locks the wheelchair after transferring the client: Locking the wheelchair should occur before the transfer to prevent it from rolling during the movement. Locking it after transferring compromises client safety and increases the risk of falls or injury.

B. Places the bed in a high position before transferring the client to the wheelchair: The bed should be placed in the lowest safe position to allow the client’s feet to touch the floor and to ease the transition to a lower surface like a wheelchair. A high bed position creates an unsafe height differential.

C. Uses a narrow stance when assisting the client to the wheelchair: A wide stance provides a stronger, more stable base of support, which is essential for safe body mechanics during a transfer. A narrow stance can lead to imbalance and injury to the AP or client.

D. Positions the wheelchair parallel to the client's bed: Positioning the wheelchair parallel or at a slight angle to the bed allows for easier and safer transfers. This minimizes turning and supports a smoother pivot, reducing strain on both the client and caregiver.

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Correct Answer is B

Explanation

A. Take a calcium supplement: Calcium supplements can contribute to constipation by decreasing bowel motility and hardening stools. Recommending calcium without addressing constipation can worsen symptoms.

B. Consume probiotic sources: Probiotics help balance gut flora and improve bowel motility, which can alleviate constipation. Including probiotic-rich foods like yogurt or supplements supports healthier digestion.

C. Use a laxative every day: Daily use of laxatives can lead to dependency and decreased bowel function over time. Laxatives should be used cautiously and not as a first-line or chronic treatment.

D. Bake with white flour: White flour is low in fiber and can contribute to constipation. Whole-grain alternatives are recommended to increase fiber intake and improve bowel regularity.

A. The stoma protrudes slightly from the abdomen. B. The stoma bleeds lightly when touched. C. The stoma is draining a small amount of liquid stool. D. The stoma appears dark in color.

Correct Answer is D

Explanation

A. The stoma protrudes slightly from the abdomen: A stoma that protrudes slightly (about 1–2 cm) above the skin surface is normal and indicates healthy placement. This finding does not require reporting.

B. The stoma bleeds lightly when touched: Light bleeding with gentle palpation or cleaning is common due to the stoma’s rich blood supply and is generally not concerning unless bleeding is excessive.

C. The stoma is draining a small amount of liquid stool: Liquid stool drainage is expected from a colostomy, especially in the early postoperative period. This is a normal finding that does not require reporting.

D. The stoma appears dark in color: A dark, dusky, or black stoma indicates compromised blood flow and possible ischemia or necrosis. This is a serious finding that requires immediate reporting to prevent further complications.

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A nurse is observing an assistive personnel (AP) transferring a client to a wheelchair. Which of the following actions by the AP indicates proper transfer technique?

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Correct Answer is D

Explanation

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