The nurse is preparing to transfer a client from the bed to a wheelchair. Which action should the nurse take to prevent injury?

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Question 1 of 5

The nurse is preparing to transfer a client from the bed to a wheelchair. Which action should the nurse take to prevent injury?

Correct Answer: A

Rationale: Locking the wheelchair wheels prevents injury during transfer. Stability reduces fall risk, per safety standards. 90-degree angle is awkward, lifting without belt strains nurse/client, and quick standing risks instability. A ensures safety, making it key.

Question 2 of 5

The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child?

Correct Answer: A

Rationale: Maintaining correct body alignment is appropriate for skeletal traction. It ensures fracture healing and prevents complications, per orthopedic nursing. Weights touching is incorrect, comfort adjustments are secondary, and releasing traction disrupts therapy. A prioritizes therapeutic efficacy.

Question 3 of 5

An ambulatory client reports edema during the day in his feet and ankles that disappears while sleeping at night. What is the most appropriate follow-up question for the nurse to ask?

Correct Answer: C

Rationale: How many pillows do you use at night to sleep comfortably?' is most appropriate. Edema resolving at night suggests cardiac or venous issues; pillow use indicates orthopnea, per cardiovascular assessment. Heart attack , dyspnea , and smoking are less specific initially. C pinpoints severity.

Question 4 of 5

The nurse auscultates bibasilar inspiratory crackles in a newly admitted 68 year-old client with a diagnosis of congestive heart disease. Which other finding is most likely to occur?

Correct Answer: B

Rationale: Peripheral edema is most likely with bibasilar crackles in congestive heart failure. Fluid overload causes both, per cardiac nursing. Chest pain may occur, clubbing is chronic hypoxia, and lethargy is nonspecific. B aligns with CHF pathophysiology.

Question 5 of 5

To obtain data for the nursing assessment, the nurse should:

Correct Answer: D

Rationale: Eliciting clients' descriptions of experiences, thoughts, and behaviors is optimal. It gathers subjective data comprehensively, per assessment standards. Nonverbal is part, structure limits depth, and free talk lacks focus. D ensures thorough, client-centered data.

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