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 D

Explanation

A. Telling the client to focus on the positive aspects of life might seem dismissive of the client's current emotional state and concerns.
B. Providing information about support groups is helpful but should follow an initial supportive and empathetic response.
C. Allowing the client privacy may be necessary later, but initially, it is important to offer support and presence.
D. Sitting quietly with the client and answering any questions demonstrates empathy, support, and availability, helping the client process the new diagnosis and feel less isolated.

A. She is postmenopausal and has been using herbal estrogen replacement therapy for four years. B. There is a history of fibrocystic breast changes and she describes the lump as painful. C. The client is of normal weight and height and has had three children before age 28. D. She describes the lump as non-tender and says her mother died of breast cancer.

Correct Answer is D

Explanation

A. While postmenopausal use of herbal estrogen may be a risk factor for breast cancer, it is not as significant as having a family history of the disease.
B. A history of fibrocystic changes and a painful lump are not as strong a risk factor for breast cancer as a family history of the disease.
C. Being of normal weight, height, and having children at a younger age are generally considered protective factors rather than risk factors for breast cancer.
D. A non-tender lump combined with a family history of breast cancer (mother with breast cancer) is the most significant risk factor for developing breast cancer.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A 56-year-old female client has discovered a new breast lump. The practical nurse (PN) recognizes that this client's greatest risk for a diagnosis of breast cancer is related to which factor?

Correct Answer is D

Explanation

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