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 C
Explanation
A. Family planning: This is primary prevention, aimed at preventing unwanted pregnancies and promoting reproductive health.
B. Diabetes screening: Screening is secondary prevention, identifying disease early to prevent progression.
C. Physical therapy: Tertiary prevention focuses on rehabilitation and restoration of function after disease or injury has occurred. Physical therapy helps clients regain mobility and prevent complications in chronic or post-acute conditions.
D. Nutrition counseling: Nutrition counseling can be primary or secondary prevention depending on the context, but it is not tertiary unless focused on managing existing disease complications.
Correct Answer is ["B","C"]
Explanation
A. Check for a disconnection in the ventilator tubing: A disconnection causes low-pressure alarms, not high-pressure alarms.
B. Check for a kink in the ventilator tubing: Kinked or obstructed tubing increases resistance to airflow, causing high-pressure alarms.
C. Suction the ET to remove secretions: Secretions in the airway increase airway resistance and pressure, leading to high-pressure alarms.
D. Assess the ET for a cuff leak: A cuff leak results in low-pressure alarms due to air escaping from the system.
E. Verify the placement of the ET: Malposition usually leads to decreased airflow or low-pressure alarms.
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