The practical nurse (PN) is turning a dependent bedridden client without assistance. Which action will best ensure the client's safety?

Slide hands under the client's lumbar area and knees.

Turn the client away from the PN using a turning sheet.

Put the bed rails up on the opposite side of the bed.

Grasp the client's hand to pull the client towards the PN.

Answer and Explanation

The Correct Answer is B

A. Sliding hands under the lumbar area and knees can cause strain on the PN’s back and is not the safest method for turning a dependent client.
B. Using a turning sheet to turn the client away from the PN is the safest method for moving a dependent client, as it uses a proper technique that minimizes injury risk for both the client and the PN.
C. Raising bed rails on the opposite side may increase the risk of injury or falls, and is not directly related to the safe turning of the client.
D. Grasping the client's hand to pull them is unsafe and could cause injury or discomfort to both the client and the PN, especially when turning a dependent client.

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Correct Answer is A,B,C,D

Explanation

A. Exposing the left side of the chest is the first step to access the area where the apical pulse is assessed. This step ensures that the nurse has clear access to the chest for auscultation.

B. Locating the point of maximal impulse (PMI) is the next step once the chest is exposed. The PMI, typically located at the 5th intercostal space at the midclavicular line, is where the heart’s apex is closest to the chest wall.

C. Positioning the diaphragm of the stethoscope on the PMI is the step where the actual auscultation begins. The diaphragm is used to listen for heart sounds.

D. Listening for heart sounds at the PMI is the final step to assess the apical heart rate. This step completes the assessment by allowing the PN to count the heart rate and evaluate the rhythm.

A. A preschooler who had an emergency appendectomy for appendicitis. B. An adult with osteomyelitis who had a necrotic bone fragment removed in the foot. C. A post-menopausal client with breast cancer who had a right breast lumpectomy. D. An adolescent with type 1 diabetes (DM) who had an open cholecystectomy.

Correct Answer is A

Explanation

A. A preschooler who had an emergency appendectomy should be checked first. Children are at higher risk for complications due to their size and the stress of emergency surgery, so close monitoring is essential.
B. An adult with osteomyelitis post-surgery is important to monitor but is generally at lower immediate risk compared to a young child following emergency surgery.
C. A post-menopausal client with breast cancer who had a lumpectomy is also a priority, but the immediate postoperative period for a child in emergency surgery takes precedence.
D. An adolescent with type 1 diabetes who had cholecystectomy requires careful monitoring, but the child’s higher risk in the immediate postoperative phase makes them the priority.

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The practical nurse (PN) is turning a dependent bedridden client without assistance. Which action will best ensure the client's safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In assessing the apical heart rate of an adult, in what order should the practical nurse (PN) perform the needed tasks?

Correct Answer is A,B,C,D

Explanation

The practical nurse (PN) is planning evening shift rounds for a group of postoperative clients who all had surgery earlier that day. Which client should the PN check first?

Correct Answer is A

Explanation

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