A nurse is preparing to transfer a client to the radiology department using a wheelchair. Which of the following actions should the nurse take?
Leave a transfer belt in place until the client returns from radiology.
Lower the footplates before transferring the client from the bed.
Back the wheelchair into the elevator.
Position the client so their weight is shifted forward
The Correct Answer is C
A. A transfer belt should be removed after the transfer is completed, as it can cause skin irritation or pressure ulcers if left in place for too long.
B. Footplates should be raised during transfer to prevent tripping, then lowered once the client is seated.
C. This ensures safety, as the larger rear wheels enter first, preventing the smaller front wheels from catching on the elevator threshold.
D. Positioning the client so their weight is shifted forward can make the transfer more difficult and increase the risk of falling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The dropper should be held about 1 cm (0.4 in) away from the eye to avoid touching or injuring the eye or contaminating the dropper tip.
B. Massaging the eyelids after instillation is not a standard practice and may cause discomfort or injury to the eye.
C. Administering multiple ophthalmic medications requires a sufficient interval between doses to prevent interactions and ensure effectiveness.
D. Asking the client to close their eyes tightly may squeeze out some of the medication or increase intraocular pressure.
Correct Answer is ["B","C","D"]
Explanation
A. Povidone-iodine is not recommended for cleaning around the stoma as it may cause irritation.
B. Ensuring the pouch opening is slightly larger than the stoma helps prevent irritation and ensures proper fit.
C. Regular emptying of the ostomy pouch prevents leakage and skin irritation. It also prevents it from becoming too heavy and pulling away from the skin.
D. The nurse should advise the client to place a piece of gauze over the stoma while changing the pouch to protect it from injury and contamination.
E. A purplish-blue change in the stoma is an indication of impaired blood supply to the stoma and should be promptly reported to the healthcare provider.

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