Safe and Effective Care Environment Nclex PN Questions - Nurselytic

Correct Answer: B

Rationale: The purpose of the hydraulic lift, also known as the Hoyer lift, is to facilitate safe transfers for clients who cannot stand or are extremely obese. It is specifically designed for assisting clients who are unable to stand and for those who are too heavy for healthcare workers to lift safely.
Choice A is incorrect because the primary purpose of a hydraulic lift is not related to orthopedic surgery.
Choice C is incorrect because it is too broad and does not capture the specific use of the hydraulic lift.
Choice D is incorrect because the lift is not solely for clients with special needs but rather for those who cannot stand or are extremely obese.

Correct Answer: B

Rationale: The correct statement is, 'I need to wash my hair before the test.' Washing the hair is necessary to remove hair products that could interfere with electrode attachment to the scalp. Restricting food or drink is not required, except for avoiding caffeinated beverages. Removing metal jewelry is unnecessary for an electroencephalography procedure. Aspirin does not need to be avoided before the test; medications like anticonvulsants, tranquilizers, barbiturates, and sedatives are the ones that might need to be held.

Correct Answer: D

Rationale: Legal protection of confidentiality extends to both written and verbal information that is identifiable as individual private health information. Confidentiality in healthcare settings is vital to protect patients' privacy and trust.
Choice A is incorrect because legal protection covers verbal information as well, not just written documentation.
Choice B is incorrect as it mentions information not identifiable to a specific client, which wouldn't fall under legal protection of confidentiality.
Choice C is incorrect as confidentiality extends beyond just the court system, impacting various healthcare settings and interactions.
Therefore, the correct answer is D.

Correct Answer: D

Rationale: The correct answer is 'urine.' Urine output is routinely measured to assess renal function and fluid balance.

Choices A, B, and C are types of fluid output that are typically measured in a clinical setting. Chest tube drainage is monitored to evaluate drainage from the chest cavity, emesis refers to vomitus which can indicate gastrointestinal issues, and evaporative water from the respiratory tract is considered insensible loss and is not directly measured but estimated in overall fluid balance assessments.

Correct Answer: D

Rationale: The proper hand position for performing chest percussion is to cup the hands. Cupping the hands helps produce a vibration that aids in loosening respiratory secretions effectively. This technique is essential for therapeutic chest physiotherapy. Using the side of the hands, flattening the hands, or spreading the fingers of both hands do not generate the necessary vibration required for chest percussion. These hand positions are not considered proper techniques in this context and may not provide the desired therapeutic effect.