A nurse is planning to transfer a client who weighs 136 kg (300 lb) 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. Wrap their arms under the client's axilla to transfer the client: Manually lifting a heavy, dependent client by placing arms under the axilla is unsafe and can cause serious musculoskeletal injuries to both the nurse and the client.
B. Use a powered lift to transfer the client: A powered mechanical lift is the safest and most appropriate method for transferring a 136-kg (300-lb) client who cannot assist. It prevents strain on healthcare workers, reduces the risk of falls, and ensures a smooth, controlled transfer from bed to chair.
C. Use a gait belt to transfer the client: A gait belt is used only for clients who can bear some weight and actively assist in the transfer. Since this client is unable to help, using a gait belt would not provide adequate support or safety during the transfer process.
D. Use a sliding board to transfer the client: Sliding boards are designed for clients who have upper body strength and can assist by lifting or shifting themselves during the transfer. In this case, the client’s inability to assist makes a powered lift the only safe and feasible option.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Bradycardia: Ectopic pregnancy does not typically cause bradycardia. If cardiovascular changes occur, tachycardia is more common due to pain, blood loss, or hypovolemic shock in the event of rupture.
B. Abdominal pain: Abdominal or pelvic pain is a hallmark sign of ectopic pregnancy. Pain may be localized to one side, often corresponding to the site of implantation, and can become severe if tubal rupture occurs.
C. Hypertension: Hypertension is not associated with ectopic pregnancy. Blood pressure may decrease if significant internal bleeding occurs, potentially leading to hypotensive shock.
D. Hydramnios: Hydramnios (excess amniotic fluid) occurs in certain intrauterine complications but is not a feature of ectopic pregnancy, as the gestation occurs outside the uterine cavity.
Correct Answer is A
Explanation
Rationale:
A. Advise the client to wait 1 hr before showering or swimming: Testosterone gel should be allowed to fully absorb into the skin before washing or swimming, typically waiting at least 1 hour. This ensures optimal absorption and therapeutic effect.
B. Instruct the client to have his testosterone checked in 1 week: Testosterone levels are generally evaluated after several weeks of therapy to assess effectiveness, not after just one week.
C. Wear clean gloves to apply the gel: The client should apply the medication themselves using clean, dry hands. The nurse should wear gloves only if assisting to prevent unintentional hormone absorption.
D. Apply the gel to the client's genital region: Testosterone gel should not be applied to the genitals due to increased absorption risk and skin irritation. Recommended sites include shoulders, upper arms, or abdomen.
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