A nurse is preparing to reposition a client. Which of the following actions should the nurse take first?
Place their feet in line with their shoulders.
Pivot their feet in the direction of the move.
Raise the height of the client's bed.
Tighten their abdominal muscles.
The Correct Answer is C
A) This is part of proper body mechanics but not the first action when repositioning a client.
B) Proper body mechanics involve pivoting rather than twisting the spine but is not the first action when repositioning a client.
C) Adjusting the bed height ensures the nurse is working at an optimal level to prevent strain during the repositioning process.
D) Engaging core muscles is important for stability during lifting and repositioning but is not the first action to take.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This function is carried out by cardiac muscle, not skeletal muscle.
B) This function is controlled by smooth muscle in the bronchioles, not skeletal muscle.
C) Bladder contraction is primarily controlled by smooth muscle in the bladder wall, not skeletal muscle.
D) Skeletal muscles are responsible for voluntary movements, including gripping and making a fist.
Correct Answer is D
Explanation
A) Urine retention is a common symptom of bladder outlet obstruction but in this case assessing the patient for a urinary tract infection is the priority.
B) While proteinuria can indicate kidney dysfunction, it's not directly related to urinary retention.
C) This refers to bladder dysfunction due to neurological causes and may not be directly related to urinary retention in an immobile client.
D) Immobility can increase the risk of urinary tract infections Urinary retention can lead to urinary tract infection (UTI) due to bacterial growth in the stagnant urine. The nurse should monitor the client for signs and symptoms of UTI, such as fever, chills, dysuria, hematuria, and foul-smelling urine.
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