Nokea
After your assessment of your client and the need to transfer your client from the bed to the chair, what is the best and safest way to transfer this paralyzed client when you suspect that you will need the help of another for the client's first transfer out of bed?
- A. Use a slide board.
- B. Use a mechanical lift.
- C. Use a gait belt.
- D. Notify the client's doctor that the client cannot be safely transferred by you.
Correct Answer: B
Rationale: For a paralyzed client requiring assistance, a mechanical lift is the safest transfer method, minimizing risk of injury to both the client and staff.
You may also like to solve these questions
A client being discharged from the hospital with a prescription for quinidine to control ventricular ectopy is provided medication instructions by the nurse. Which statement by the client would indicate the need for further teaching?
- A. The best time to schedule this medication is with my meals.
- B. I need to take this medication regularly, even if my heart feels strong.
- C. I should avoid alcohol, caffeine, and cigarettes while on this medication.
- D. If I get diarrhea, nausea, or vomiting, I need to stop the medication immediately.
Correct Answer: D
Rationale: Diarrhea, nausea, vomiting, loss of appetite, and dizziness are all common side effects of quinidine. If these should occur, the primary health care provider or nurse should be notified, but the medication should never be stopped by the client. A rapid decrease in the medication level of an antidysrhythmic could precipitate dysrhythmia. The remaining options are accurate client statements.
A client has been diagnosed with viral hepatitis. Which of the following goals is most appropriate for the client?
- A. Achieve control of abdominal pains
- B. Increase activity levels gradually
- C. Reduce jaundice
- D. Prevent liver damage
Correct Answer: B
Rationale: Increasing activity levels gradually is an appropriate goal for viral hepatitis, as rest is needed initially but gradual return to activity supports recovery. Pain is less common, and jaundice or liver damage prevention are secondary.
Which instruction should the nurse provide to the client prescribed the medication benztropine mesylate?
- A. Sit in the sun for 30 minutes daily.
- B. Avoid driving if drowsiness or dizziness occurs.
- C. Expect difficulty swallowing while taking this medication.
- D. Expect episodes of vomiting and constipation while taking this medication.
Correct Answer: B
Rationale: The client taking benztropine mesylate, anti-Parkinson's agent and anticholinergic agent, should be instructed to avoid driving or operating hazardous equipment if drowsy or dizzy. The client's tolerance to heat may be reduced because of the diminished ability to sweat, and the client should be instructed to plan rest periods in cool places during the day. The client should be instructed to contact the primary health care provider immediately if difficulty swallowing or speaking or vomiting occurs. The client should also inform the primary health care provider if central nervous system effects occur. The client is instructed to monitor urinary output and watch for signs of constipation.
The nurse tells a rape victim that even if she was protected against pregnancy by a contraceptive and the attention of taking any legal action against her assailant, she should still be checked by a physician for early detection of which of the following?
- A. Sexually transmitted disease.
- B. Anxiety reaction.
- C. Periurethral tears.
- D. Menstrual difficulties.
Correct Answer: A
Rationale: A physician should check for sexually transmitted diseases, as rape increases the risk of infection, which requires early detection and treatment.
You are the nurse in an ambulatory surgical center. Which of the following risk factors are associated with impaired and delayed healing?
- A. A lack of zinc
- B. A lack of vitamin E
- C. High iron levels
- D. High phosphorus levels
Correct Answer: A
Rationale: Zinc deficiency impairs wound healing by affecting collagen synthesis and immune function.