A nurse is planning to transfer a client who weighs 136 kg (300 1b) from a bed to a chair. The client is unable to assist in the transfer. Which Of the following actions should the nurse plan to take?
Wrap their arms under the client's axilla to transfer the client.
Use a powered lift to transfer the client
Use a gait belt to transfer the client.
Use a sliding board to transfer the client.
The Correct Answer is B
Rationale:
A. Lifting under the axilla risks musculoskeletal injury to both the nurse and client. This technique violates safe handling guidelines.
B. A powered mechanical lift is required when the client is heavy and unable to assist, as it minimizes nurse injury and ensures safe, smooth movement.
C. A gait belt is used only for clients who can bear partial weight and actively assist in the transfer. This client cannot assist.
D. A sliding board requires some upper body strength and cooperation, which this client lacks. Therefore, it is unsafe for this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
Explanation
Mastitis is an infection of the breast tissue that commonly occurs 2–3 weeks postpartum, particularly in breastfeeding clients.
The primary risk factor is a cracked or damaged nipple, which allows bacteria (often Staphylococcus aureus) to enter the breast tissue.
The client is actively breastfeeding and has a visible crack on the left nipple, putting her at highest risk for developing mastitis.
Rationale for Incorrect Options:
Endometritis: Typically occurs within the first week postpartum after cesarean birth or prolonged rupture of membranes. This client is 2 weeks postpartum after vaginal birth, fundus is non-palpable (normal involution), and she has only a small amount of whitish-yellow discharge, making endometritis less likely.
Perineal hematoma: Usually develops within 24 hours of vaginal delivery due to trauma. The client’s perineal discomfort is mild and well past the acute phase, so a hematoma is unlikely.
Correct Answer is B
Explanation
A. Tenting of the skin suggests dehydration, not fluid overload.
B. A respiratory rate of 30/min indicates tachypnea, which can occur due to pulmonary congestion and decreased gas exchange from fluid overload. Other signs may include crackles, dyspnea, elevated blood pressure, and jugular vein distension.
C. A heart rate of 60/min is normal; fluid overload typically causes tachycardia as the body compensates for increased volume and decreased oxygenation.
D. Warm, dry skin is a normal finding and does not indicate excess fluid volume.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.