Proper hand-washing technique requires that a nurse wash for a minimum of what length of time?
30 seconds.
10 seconds.
45 seconds.
20 seconds.
The Correct Answer is D
Choice B rationale:
Call for additional staff to assist with the transfer. The nurse's priority in this situation is ensuring the safety of the client during the transfer from the chair to the bed. Calling for additional staff provides the necessary support to safely move the client, minimizing the risk of falls or injuries. It is crucial to have an adequate number of staff members to assist in transfers, especially when the client's mobility is compromised.
Choice A rationale:
Obtain a walker for the client to use to transfer back to bed. While a walker can be helpful for mobility, the client has already asked to return to bed, indicating the immediate need for assistance. Waiting to obtain a walker could delay the transfer, potentially putting the client at risk.
Choice C rationale:
Use a transfer belt and assist the client back into bed. Using a transfer belt is a suitable technique for assisting clients with mobility. However, the nurse's priority in this scenario is to ensure there is enough staff assistance to guarantee a safe transfer. The nurse should not attempt to perform the transfer alone, even with a transfer belt, as it might be unsafe for both the nurse and the client.
Choice D rationale:
Determine the client's ability to help with the transfer. While assessing the client's ability to participate in the transfer is important, it is not the nurse's priority in this situation. The immediate concern is to secure adequate assistance to safely move the client back to bed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Using a fire extinguisher should not be the nurse's first action in this situation. The nurse's priority is to ensure the safety of the clients and staff in the vicinity. Attempting to use a fire extinguisher might not be effective and can potentially cause harm, especially if the fire spreads quickly.
Choice B rationale:
Activating the fire alarm is the nurse's priority in this situation. By activating the fire alarm, the nurse can alert everyone in the facility about the fire, ensuring that people are aware and can evacuate safely. This action initiates the facility's fire response protocol, leading to a quicker and organized response to the emergency.
Choice C rationale:
Moving clients to safety is important, but it is not the nurse's immediate priority in this situation. Activating the fire alarm should be done first to ensure that everyone in the facility is aware of the danger, and then the nurse can assist in moving clients to safety if necessary.
Correct Answer is C
Explanation
Choice A rationale:
The spinal cord is not contained in the cranial cavity. The spinal cord is located within the spinal canal, which runs through the vertebral column, providing protection to the spinal cord.
Choice B rationale:
The heart is not contained in the cranial cavity. The heart is situated in the thoracic cavity, between the lungs, and is protected by the ribcage.
Choice C rationale:
The brain is contained in the cranial cavity. The cranial cavity, also known as the intracranial space, houses the brain and provides protection to this vital organ. The brain is the control center of the body, regulating various functions and processing sensory information.
Choice D rationale:
The stomach is not contained in the cranial cavity. The stomach is located in the abdominal cavity, which is situated below the diaphragm and above the pelvis. It is involved in the digestion of food and is not found in the cranial cavity.
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