A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take?

Roll the client as one unit in a smooth, continuous motion.

Flex the client's knees.

Place the client's arms at their sides.

Place the client on the side of the bed nearest the direction they will be turned.

Answer and Explanation

The Correct Answer is A

- Rationale for A: Rolling the client as one unit helps maintain spinal alignment and prevents further injury. It ensures that no additional strain is placed on the injured area, which could exacerbate pain or cause further damage. This method distributes the client's weight evenly and avoids twisting movements that could be harmful.

- Rationale for B: While flexing the client's knees may be part of the process to prepare for repositioning, it is not the most critical action to take. Flexing the knees alone does not ensure the safety of the client's lower back and could potentially lead to discomfort or injury if not done in conjunction with other measures.

- Rationale for C: Placing the client's arms at their sides is not advisable as it does not provide any support or stability during the repositioning process. Arms should be positioned in a way that they do not bear weight or interfere with the movement, ensuring the client's comfort and safety.

- Rationale for D: While placing the client on the side of the bed nearest the direction they will be turned may seem practical, it is not the primary action to ensure the client's safety. This position does not address the need for maintaining proper spinal alignment or the smooth, controlled movement required to protect the lower back injury.

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Correct Answer is B

Explanation

A. Turning the client onto their side helps prevent aspiration and ensures a clear airway but since the client is seated on a chair, they run the risk of getting a fall hence lying them down is the priority.
B. If a client has a seizure when seated, it is best to ensure their safety by lying them on the floor and moving any objects that can cuase injury.
C. Loosening clothing is important but not the priority over ensuring a clear airway.
D. Moving items away from the client is important to prevent injury, but ensuring airway safety comes first.

A. "See the supervisor so they can give you a temporary password." B. "Provide the client's information to the charge nurse, who can document the information for you." C. "I can give you the contact information for someone to assist you with recovering your password." D. "Under these circumstances, I can let you use my password just this one time."

Correct Answer is C

Explanation

A. Involving the supervisor for a temporary password might not be necessary when other options for password recovery are available.
B. Asking another nurse to document on behalf of the newly licensed nurse might lead to issues related to accountability and accuracy.
C. Providing contact information for password recovery assistance is the most appropriate action.
D. Sharing passwords compromises security and violates policies and should be avoided.

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A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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