The nurse is preparing to transfer a patient from the bed to a chair next to the bed. The patient has full weight bearing on the right leg and partial weight bearing on the left leg. They use a walker when ambulating. Which of the following assistive devices would be appropriate for the transfer?
Gait belt with handles
Lateral-assist transfer board
Powered stand-assist aid
Powered full-body lift
The Correct Answer is B
A. Gait belt with handles: A gait belt can provide support and stability during transfers, but it is generally used for walking rather than transferring directly from bed to chair.
B. Lateral-assist transfer board: A lateral-assist transfer board can help with moving the patient from bed to chair by sliding, making it appropriate for this transfer scenario.
C. Powered stand-assist aid: A powered stand-assist aid is typically used to help patients who need assistance standing and could be appropriate if the patient requires more support during the transfer.
D. Powered full-body lift: A powered full-body lift is generally used for patients who cannot bear weight at all and would not be necessary for a patient who can bear weight on one leg and use a walker.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Can you describe the feeling you are experiencing?" Asking the patient to describe their sensation helps identify the nature of their discomfort and guides appropriate pain management or further investigation.
B. "Would you like me to give you some pain medication?" Offering pain medication may address the discomfort, but it is important to first understand the nature and severity of the pain.
C. "Do you feel better sitting in the chair?" This question assesses the patient’s comfort but does not address the cause of the pain or discomfort.
D. "Let me know if you are still uncomfortable in the chair." This is a follow-up question rather than an initial assessment, and it may not be proactive enough in addressing the cause of pain.
Correct Answer is B
Explanation
A. Verify the client's code status: Although verifying code status is important, it may delay necessary emergency interventions. In an urgent situation where the code status is unknown, immediate action is required.
B. Begin cardiopulmonary resuscitation (CPR). When a client is pulseless and the code status is unknown, the priority is to start CPR while emergency services are called. This ensures that the client receives potentially life-saving care promptly.
C. Provide comfort measures until family arrives. This is not appropriate if the client is pulseless and immediate resuscitation efforts are needed.
D. Initiate a slow code response. A slow code is not appropriate in an emergency situation where the patient requires immediate resuscitation.
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