Two unlicensed assistive personnel (UAP) are using the transfer board to move the client from the bed to the wheelchair. Which action should the nurse take?

Correct Answer: A

Rationale: The correct answer is A. The nurse should take no action because using a transfer board to move a client from the bed to the wheelchair is an appropriate and safe procedure when performed correctly by UAPs. Using a transfer board helps in ensuring a smooth and safe transfer without causing harm to the client. Instructing the UAPs not to use a transfer board (choice B) would be incorrect as it is a useful tool for transferring clients safely. Using a bed scale sling to move the client (choice C) is not appropriate for transferring the client from the bed to the wheelchair. Requesting the UAPs to stop and come to the nurse's station (choice D) is unnecessary and interrupts the transfer process.

Correct Answer: C

Rationale: The correct answer is C because contacting the healthcare provider when pain relief is not obtained demonstrates advocacy for the client's well-being. The nurse is advocating for the client's right to adequate pain management. Bringing pain medication when due (A) is part of standard nursing care, not necessarily advocacy. Collaborating with other disciplines (B) is important for holistic care but doesn't directly relate to advocating for the client. Teaching the client to ask for medication (D) is empowering but not necessarily advocating for the client in this context.

Correct Answer: B

Rationale: The correct answer is B because consistently turning up the volume on the television suggests the client is having difficulty hearing. This behavior indicates a potential hearing loss as the individual may not be able to hear the TV at normal volume levels. Cleaning ears daily (A) is a routine hygiene practice and does not necessarily indicate hearing loss. Ear pain when yawning (C) could be related to ear infections or eustachian tube dysfunction, not specifically hearing loss. Dizziness upon standing (D) is more indicative of orthostatic hypotension or inner ear issues, not necessarily hearing loss.

Correct Answer: B

Rationale: The correct answer is B because recommending an over-the-counter scopolamine patch is an appropriate intervention for preventing motion sickness during a cruise. Scopolamine is a common medication used to alleviate symptoms of motion sickness by affecting the vestibular system. It is often recommended for individuals going on cruises or experiencing other forms of motion sickness. Choice A is incorrect because making an appointment with the healthcare provider may not be necessary for a common issue like motion sickness and could delay the client's access to immediate relief. Choice C is incorrect as discouraging the client from taking the trip does not address the client's concern about motion sickness and is not a practical solution. Choice D is incorrect as instructing the client to lie down does not address motion sickness and may not be effective in preventing or alleviating symptoms.

Correct Answer: C

Rationale: The correct answer is C: Perform a bedside glucose check. This is the priority intervention as the client's symptoms suggest hypoglycemia, common in pancreatic islet tumors. Checking glucose levels will confirm this and guide appropriate treatment. Starting an IV with D5W (A) may be needed for severe cases, but confirming hypoglycemia is crucial first. Notifying the health-care provider (B) may delay immediate action. Giving orange juice (D) may help raise blood sugar, but confirming hypoglycemia is necessary before providing any treatment.