The nurse uses gait belts when assisting clients to ambulate. Which client would be a likely candidate for this assistive device?

A client who is confined to bedrest.

A client who has leg strength and can cooperate with the movement

A client who has a thoracic incision.

A client who has an abdominal incision.

Answer and Explanation

The Correct Answer is B

Choice A rationale: A client who is confined to bedrest may not need a gait belt as they are not ambulating.
Choice B rationale: A client with leg strength who can cooperate with movement is a likely candidate for a gait belt. This device provides support and stability during ambulation.
Choice C rationale: A client with a thoracic incision may not necessarily need a gait belt for ambulation unless there are specific mobility concerns.
Choice D rationale: A client with an abdominal incision may not necessarily need a gait belt for ambulation unless there are specific mobility concerns.

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Correct Answer is A

Explanation

Choice A rationale: The client who is 92 years old, uses a walker, is incontinent, and has an extensive cardiac history is at higher risk for the development of pressure injuries due to age, immobility, and additional risk factors.
Choice B rationale: A client with paraplegia may be at risk for pressure injuries, but the combination of age, walker use, incontinence, and cardiac history increases the risk in Choice A.
Choice C rationale: A comatose client with a traumatic brain injury is at risk, but other factors in Choice A contribute to a higher overall risk.
Choice D rationale: A client who uses a cane and has dementia may be at risk, but the combination of age, walker use, incontinence, and cardiac history increases the risk in Choice A.

A. elevate the head of the bed. B. have the client fold the arms across the chest. C. ask another nurse about the plan of care. D. maintain a pillow under the client's head.

Correct Answer is B

Explanation

Choice A rationale: Elevating the head of the bed is not the recommended action when moving a client up in bed.
Choice B rationale: Having the client fold the arms across the chest is not the primary action when moving a client up in bed.
Choice C rationale: Asking another nurse about the plan of care is not necessary in this situation and does not directly address the action needed when moving the client.
Choice D rationale: Maintaining a pillow under the client's head helps provide comfort and support during the movement.

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The nurse uses gait belts when assisting clients to ambulate. Which client would be a likely candidate for this assistive device?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in long-term care facility is assessing residents at risk for the development of a pressure injury. Which resident would be most at risk?

Correct Answer is A

Explanation

When moving a client up in bed with the assistance of another caregiver, the nurse should:

Correct Answer is B

Explanation

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The nurse uses gait belts when assisting clients to ambulate. Which client would be a likely candidate for this assistive device?