A nurse is teaching a newly licensed nurse about maintaining correct posture when transferring clients.
Which of the following statements should the nurse make?

"Keep your back straight.”.

"Keep your knees straight.”.

"Tilt your head toward your chest.”.

"Loosen your abdominal muscles.”.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

"Keep your back straight.”. Maintaining correct posture when transferring clients is essential to prevent injuries to both the nurse and the patient. The correct answer, "Keep your back straight," is crucial in ensuring that the nurse avoids straining their back muscles. When transferring patients, it's essential to use proper body mechanics and keep the spine in a neutral position. This minimizes the risk of back injuries and promotes safe patient handling. Bending or twisting the back can lead to musculoskeletal problems, such as back pain or herniated discs.

Choice B rationale:

"Keep your knees straight.”. Keeping your knees straight is not the correct choice for maintaining correct posture when transferring clients. In fact, it's essential to keep your knees slightly bent when lifting or transferring a patient. This position helps to maintain stability and distribute the weight evenly, reducing the risk of injury.

Choice C rationale:

"Tilt your head toward your chest.”. Tilting the head toward the chest is unrelated to maintaining proper posture during patient transfers. It is important to keep the head in a neutral position while transferring patients, focusing on the back and leg positioning.

Choice D rationale:

"Loosen your abdominal muscles.”. Loosening abdominal muscles is not a recommended practice during patient transfers. Maintaining core strength and stability is essential for proper body mechanics. Relaxing the abdominal muscles can lead to poor posture and decreased stability, increasing the risk of injury.

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Correct Answer is B

Explanation

Choice A rationale:

Reduced respiratory rate is not a typical manifestation of pain. In fact, pain often leads to an increased respiratory rate as the body responds to discomfort by trying to minimize it.

Choice B rationale:

Elevated blood pressure is a common manifestation of pain. When a person experiences pain, their sympathetic nervous system is activated, leading to an increase in heart rate and blood pressure. This response is designed to prepare the body to fight or flee from a potential threat, and it helps redirect blood flow to vital organs.

Choice C rationale:

Constricted pupils are not a direct manifestation of pain. In contrast, dilated pupils can be seen in response to pain as a result of sympathetic nervous system activation.

Choice D rationale:

Decreased heart rate is not typically associated with pain. Pain tends to increase heart rate as a part of the body's stress response.

A. Hold the tip of the syringe at least 1.3 cm (0.5 in) above the wound while irrigating. B. Chill the irrigant prior to the procedure. C. Flush the wound from the most contaminated area to the cleanest area. D. Irrigate the wound until the solution that is draining is clear.

Correct Answer is D

Explanation

Choice A rationale:

Holding the tip of the syringe at least 1.3 cm (0.5 in) above the wound while irrigating is not the best practice for wound irrigation. It's crucial to maintain a close distance to the wound to ensure that the irrigation solution effectively cleans the area.

Choice B rationale:

Chilling the irrigant prior to the procedure is not necessary and could be uncomfortable for the patient. Room temperature or slightly warmed sterile saline solution is typically used for wound irrigation to prevent temperature-related discomfort.

Choice C rationale:

Flushing the wound from the most contaminated area to the cleanest area is an incorrect approach for wound irrigation. The wound should be irrigated from the cleanest to the most contaminatedto prevent contamination of previously clean areas and ensures thorough cleaning of the wound.

Choice D rationale:

Irrigating the wound until the solution that is draining is clear is a common practice for wound irrigation. It indicates that the wound is free of contaminants, debris, and infectious material.

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A nurse is teaching a newly licensed nurse about maintaining correct posture when transferring clients.Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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A nurse is teaching a newly licensed nurse about maintaining correct posture when transferring clients.
Which of the following statements should the nurse make?