You are assisting a person with a transfer from the wheelchair to the bed. During the transfer, the person starts to fall. What equipment must be in place to ensure the person's safety? What should you do?
What will be an ideal response?
Nonslip shoes, a gait belt or safety belt, and locks on the wheelchair are all important pieces of safety equipment. While holding on to the gait belt, gently lower the person to the floor if unable to balance the person and put him or her back into the wheelchair. If you lowered the person to the floor, turn on the call light to get assistance. You may need to use a mechanical lift to assist the person off the floor. If you placed the person back into the wheelchair, reassure him or her.
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When helping to develop a diet for a client with constipation, the nurse should stress the need for:
1. High fiber and adequate fluid. 2. Stool softeners and laxatives on a daily basis. 3. Avoidance of fruits and vegetables. 4. Addition of white bread, white rice, and peeled potatoes.
The school nurse is conducting pediculosis capitis (head lice) checks. A child with a "positive"head check would have
1. white,flaky particles throughout theentire scalp region. 2. maculopapular lesions behind the ears. 3. lesions in the scalp that extend to thehairline or neck. 4. white sacs attached to the hair shaftsin the occipital area.
A client presents to an emergency department while having a panic attack. The client asks a nurse, "Am I going crazy?" Which is the most appropriate nursing response?
A) "Although it may feel that way during an attack, you actually suffer from panic disorder." B) "Thank goodness it's only in your head and not a real heart attack." C) "Let me get the psychiatrist to explain it to you." D) "We're all a little crazy at times. You'll be fine."
The Oucher pain assessment tool uses a numeric scale ranking pain from:
a. 0 to 100 c. 1 to 10 b. 1 to 5 d. 0 to 20