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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Rationale:
A. "I will remove gluten from my diet.": Gluten is not associated with latex cross-reactivity. Gluten sensitivity is related to celiac disease, which involves an immune response to wheat proteins, not latex allergens.

B. "I will remove peanuts from my diet.": Peanuts are not part of the common cross-reactive foods for latex allergy. While peanuts are a frequent cause of food allergies, they do not share similar protein structures with latex that trigger cross-sensitivity reactions.

C. "I will remove bananas from my diet.": Bananas share similar protein allergens with natural rubber latex, which can trigger cross-reactive allergic responses. Individuals with latex allergy often react to foods such as bananas, avocados, kiwis, and chestnuts, making avoidance of these foods advisable.

D. "I will remove dairy products from my diet.": Dairy products do not have protein structures similar to those found in latex and are not linked to latex-related cross-reactivity. Removing them from the diet provides no benefit in managing latex allergies.

A. Deep tendon patellar reflex B. Heart rate C. Blood pressure D. Edema

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

Rationale:

• Deep tendon patellar reflex: The reflex response decreased from 4+ to 2+, demonstrating a reduction in hyperreflexia. This improvement indicates effective magnesium sulfate therapy, showing decreased neuromuscular irritability and a lower risk of progression to eclampsia.

• Blood pressure: The blood pressure declined from 166/110 mm Hg to 152/90 mm Hg, reflecting effective antihypertensive therapy and improved vascular tone. This moderate reduction suggests that labetalol and magnesium sulfate are successfully controlling severe preeclampsia symptoms.

• Heart rate: The heart rate remained within normal parameters (72–90/min) across both days, showing stable cardiac function without significant deviation. This consistency indicates no notable change in hemodynamic status related to treatment.

• Edema: The client continues to exhibit +3 pitting edema in both lower extremities, reflecting persistent fluid retention and endothelial dysfunction. This ongoing finding suggests that intravascular fluid shifts typical of preeclampsia have not yet resolved.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a newly documented latex allergy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

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