Which of the following methods of transfer from the bed to a chair is the most appropriate for a patient who weighs 250 pounds and requires maximum assistance with transfers?

Walker

Draw sheet with two caregivers

Sliding Board

Mechanical Lift

Answer and Explanation

The Correct Answer is D

A. Walker: A walker is for clients who can bear some weight and participate in transfers, not for those requiring maximum assistance.
B. Draw sheet with two caregivers: This is more appropriate for repositioning in bed, not for safe transfer to a chair for a heavy client needing full assistance.
C. Sliding Board: A sliding board requires some upper body strength and minimal assistance-not suitable for maximum assist cases.
D. Mechanical Lift: A mechanical lift (e.g., Hoyer lift) is the safest option for transferring heavy clients who cannot assist themselves.

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Correct Answer is C

Explanation

A. "Have your head turned to the side while you lie on your stomach.": This is the prone position, which can worsen breathing in COPD clients.
B. "Lie on your back with your head and shoulders supported by a pillow.": This is the supine or semi-Fowler’s position, which may not optimize lung expansion.
C. "Have a table beside your bed so you can sit on the side of the bed and rest your arms on the table.": This is the orthopneic or tripod position, which facilitates diaphragmatic expansion and improves breathing in clients with COPD.
D. "Lie on your side with your top arm resting on the bed and your weight on your hip.": This is a lateral position, which doesn't significantly aid breathing in COPD.

A. Lower the head of the bed. B. Place the bed in its lowest position. C. Unlock the wheels on the bed. D. Have two caregivers at the side of the bed.

Correct Answer is A

Explanation

A. Lower the head of the bed: This facilitates a horizontal transfer by making the bed and stretcher levels even, reducing strain during the move.
B. Place the bed in its lowest position: The bed should be adjusted to the same height as the stretcher for a smoother transfer.
C. Unlock the wheels on the bed: The wheels must be locked to prevent movement and injury.
D. Have two caregivers at the side of the bed: While help is needed, one caregiver on each side and possibly one at the head or foot is preferred depending on the client’s condition.

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Which of the following methods of transfer from the bed to a chair is the most appropriate for a patient who weighs 250 pounds and requires maximum assistance with transfers?

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Naxlex Comprehensive Predictor Exams

A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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