An obese client has returned to the unit after receiving sedation and electroconvulsive therapy. The nurse requests assistance moving the client from the stretcher to the bed. There are 2 people available to assist. Which of the following is the best method of transfer for this patient?

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Question 1 of 5

An obese client has returned to the unit after receiving sedation and electroconvulsive therapy. The nurse requests assistance moving the client from the stretcher to the bed. There are 2 people available to assist. Which of the following is the best method of transfer for this patient?

Correct Answer: B

Rationale: A sliding board (B) is safest for transferring an obese, sedated patient with limited assistance, minimizing strain and risk. Carry lift (A) is impractical, lift sheet (C) requires more staff, and hydraulic lift (D) is unnecessary with two helpers.

Question 2 of 5

In a client with chronic bronchitis, which sign would lead the nurse to suspect right-sided heart failure?

Correct Answer: D

Rationale: Leg edema (D) indicates right-sided heart failure due to venous congestion from impaired right heart pumping, common in chronic bronchitis (cor pulmonale). Cyanosis (A) and crackles (B) are more pulmonary, and cough (C) is typical of bronchitis.

Question 3 of 5

A client has hypoxemia of pulmonary origin. What portion of arterial blood gas results is most useful in distinguishing acute respiratory distress syndrome from acute respiratory failure?

Correct Answer: A

Rationale: PaO2 (A) measures oxygenation; ARDS shows severe hypoxemia (low PaO2) despite oxygen therapy, unlike acute respiratory failure, which may involve CO2 retention (B) or pH changes (C).

Question 4 of 5

A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

Correct Answer: C

Rationale: High Fowler’s with knees flexed (C) reduces venous pooling and pain in sickle cell crisis by promoting circulation and comfort. Other positions (A, B, D) are less effective.

Question 5 of 5

Cystic fibrosis is diagnosed by ....

Correct Answer: B

Rationale: The sweat test (B) diagnoses cystic fibrosis by detecting elevated chloride levels, a hallmark of the disease.

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