The nurse is planning care for a client who has limited bed mobility. What instruction should be given to the assistive personnel who will be caring for this client?
1. Place a turn sheet on the bed.
2. Always use two personnel to move the client.
3. Stand at the head of the bed to pull the client up.
4. Slide the client toward the head of the bed.
5. Encourage the client to assist as possible.
Correct Answer: 1, 2, 5
Rationale 1: Placing a turn sheet on the bed will help overcome inertia and friction during moving.
Rationale 2: Using two personnel will allow a "lift and move" rather than pulling or sliding the client over linens.
Rationale 3: The personnel should stand on either side of the bed and use the turn sheet to move the client.
Rationale 4: Sliding the client causes friction. The client should be moved using the turn sheet.
Rationale 5: Encouraging the client to assist as much as possible will lighten the workload.
You might also like to view...
A client with mild preeclampsia is ordered to stay on bed rest at home, lying on either side. Why is client teaching essential to improve her compliance with this plan of care?
a. The client generally feels well and may not recognize the potential seriousness of this diagnosis. b. The client may feel guilty for having others care for her. c. The client may think that the symptoms of this condition are normal at this stage of pregnancy. d. The client will have alternating periods of vomiting and feeling well.
A patient is in the hospital with suspected intracerebral hemorrhage. The nurse anticipates that which neurological test is likely to be ordered?
1. x-rays of the spine 2. computed tomography (CT) 3. evoked potentials 4. electroencephalogram (EEG)
The RN instructs the LPN to "Give an enema to the patient in room 327 who is being discharged but is complaining of being constipated
Then be sure to document on the medication administration record when given." Which of the five rights was missing in this situation? The right of: a. direction and communication. b. task. c. person. d. circumstances.
Reflecting upon the client's other symptoms and past history, the nurse determines the client likely has right-sided heart failure when the client:
1. Consumes 5% of meals and complains of nausea. 2. Admits to anxiety over learning the new medication regimen. 3. Has trouble concentrating on the conversation. 4. Is dyspneic with activity.