A nurse is preparing to move a client who is partially able to assist up in bed. Which of the following methods should the nurse plan to use?

One nurse lifting as the client pushes with his feet

Two nurses lifting the client under the shoulders

One nurse lifting the client’s legs as the client uses a trapeze bar.

Two nurses using a draw sheet or other tension reducing device

Answer and Explanation

The Correct Answer is D

A. One nurse lifting as the client pushes with his feet: This method increases the risk of musculoskeletal injury to the nurse and lacks adequate support.
B. Two nurses lifting the client under the shoulders: This can cause nerve damage to the client and is not a safe lifting technique.
C. One nurse lifting the client’s legs as the client uses a trapeze bar: If the client is only partially assisting, additional help is needed to avoid injury.
D. Two nurses using a draw sheet or other tension reducing device: This is the safest and most effective method to move a partially assisting client, minimizing strain and promoting safety.

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Correct Answer is C

Explanation

A. "I plan to purchase a carbon monoxide detector for my home.": A CO detector is essential since carbon monoxide is undetectable by human senses.
B. "Breathing in carbon monoxide can cause headaches and nausea.": These are common early symptoms of carbon monoxide poisoning.
C. "I can detect the presence of carbon monoxide by its metallic odor.": Carbon monoxide is colorless, tasteless, and odorless. This indicates the client needs further teaching.
D. "A high concentration of carbon monoxide can cause death.": Prolonged or high-level exposure can be fatal due to tissue hypoxia.

A. Hypertension B. Diarrhea C. Pressure injury D. Contractures of extremities

Correct Answer is ["C","D","E"]

Explanation

A. Hypertension: Immobility more commonly leads to orthostatic hypotension, not hypertension.
B. Diarrhea: Immobility often causes constipation due to reduced peristalsis, not diarrhea.
C. Pressure injury: Prolonged pressure on bony prominences in immobile clients can cause skin breakdown and ulcers.
D. Contractures of extremities: Lack of movement leads to muscle shortening and joint contractures.
E. Crackles in the lungs: Crackles may indicate atelectasis or pneumonia, both of which are risks due to decreased lung expansion and secretion retention in immobile clients.

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A nurse is preparing to move a client who is partially able to assist up in bed. Which of the following methods should the nurse plan to use?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching for a client about carbon monoxide poisoning. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

Correct Answer is C

Explanation

A nurse is monitoring a client for complications of immobility. Which of the following findings does the nurse identify as a complication of immobility? (Select All that Apply.)

Correct Answer is ["C","D","E"]

Explanation

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