A nurse is observing an assistive personnel (AP) who is using a mechanical lift with a hammock sling to transfer a client from the bed to a chair. For which of the following actions by the AP should the nurse intervene?
Locks the hydraulic valve before attaching the sling to the lift
Leaves the bed in the lowest position throughout the procedure
Raises the head of the bed to a sitting position just before the transfer
Places a removable cover over the sling
The Correct Answer is A
A. Locks the hydraulic valve before attaching the sling to the lift
The hydraulic valve must be unlocked to adjust height and should only be locked after the client is securely attached and raised. Locking it before attaching the sling may indicate improper procedure or reduced safety during lifting.
B. Leaves the bed in the lowest position throughout the procedure
Leaving the bed low can be safe depending on facility protocol and prevents injury if the client or staff lose balance.
C. Raises the head of the bed to a sitting position just before the transfer
Elevating the head of the bed helps the client into a functional sitting position, making sling placement and transfer easier and safer.
D. Places a removable cover over the sling
A removable cover can enhance comfort and hygiene, especially if the sling is shared.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Develops fatigue when assisting with morning hygiene care
Fatigue during hygiene suggests low endurance; not ready to ambulate safely.
B. Needs assistance raising her legs to put on socks
Needing assistance for simple tasks shows weakness and poor muscle control.
C. Performs active range-of-motion (ROM) exercises of all extremities
Performing full active ROM exercises indicates good muscle strength and coordination, suggesting readiness to attempt ambulation.
D. Demonstrates mild dyspnea when eating breakfast
Dyspnea with minimal activity (eating) indicates limited cardiopulmonary reserve-not yet fit to ambulate.
Correct Answer is B
Explanation
A. Left the patient with the lap robe tucked underneath.
A lap robe is used for warmth and comfort; tucking it under does not pose a risk.
B. Left the brakes of the wheelchair unlocked.
Wheelchair brakes must be locked during transfers to prevent the chair from moving and causing a fall.
C. Placed the patient's feet centered on the footrests.
Feet should be properly placed to avoid dragging or injury.
D. Placed slippers on the patient.
This is appropriate as long as the slippers are non-skid, providing safe footing during transfer.
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