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 C

Explanation

A. "Don't worry. Everything will work out for you.": This response minimizes the client’s feelings and concerns, potentially invalidating their decision. It also avoids addressing the seriousness of the situation and does not encourage open communication or support.

B. "We should talk about your decision later.": Deferring the conversation may make the client feel ignored or unsupported. It is important to acknowledge and explore the client’s feelings and reasoning about discontinuing treatment promptly to provide appropriate care.

C. "How will you discuss this decision with your loved ones?": This response respects the client’s autonomy and opens a supportive dialogue. It encourages the client to consider communication with their support system and reflects a willingness to assist in the emotional and practical aspects of their decision.

D. "Your quality of life will be compromised if you make this decision.": This statement is judgmental and may induce guilt or fear. It does not respect the client’s right to make informed decisions about their own care and can hinder therapeutic communication.

A. Check the client's gastric residual. B. Verify the tube placement. C. Pour the medication into the syringe and allow it to flow by gravity. D. Clamp the NG tube for 20 to 30 min.

Correct Answer is ["B","A","C","D"]

Explanation

A. Check the client's gastric residual: After confirming tube placement, gastric residual is assessed to evaluate delayed gastric emptying, which could increase the risk of aspiration. This is done before administering medications or feedings.

B. Verify the tube placement: Tube placement is verified first to ensure the medication is delivered into the stomach and not the lungs. This prevents aspiration and other complications associated with incorrect tube placement.

C. Pour the medication into the syringe and allow it to flow by gravity: Once placement is confirmed and residual checked, the medication is administered via gravity through the syringe to minimize pressure on the NG tube and promote safe delivery.

D. Clamp the NG tube for 20 to 30 min: After administering the medication, the NG tube is clamped to allow for medication absorption before suction is resumed. Immediate suctioning would remove the medication before it can take effect.

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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 C

Explanation

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Explanation

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