When assisting a client from the bed into a wheelchair the nurse assesses the client for signs of dizziness?

20.When assisting a client from bed to a chair, the nurse counts to three prior to assistingthe client to a standing position. What muscle group would the nurse use to assist?a) Legb) Backc) Gluteald) Abdominal

21.The nurse is helping a client with a weak left leg to a standing position for an assist into awheelchair. What action would the nurse take to accommodate this weak extremity?

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22.When assisting a client into a wheelchair, what action would the nurse take to ensurethe client is properly positioned before sitting down in the wheelchair?

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23.Assisting the client out of bed, the nurse is helping to lower a client into a wheelchair.What would the nurse ask the client to do at this point?

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24.When assisting a client from the bed into a wheelchair, the nurse assesses the client forsigns of dizziness upon standing. For what adverse condition is the nurse assessing theclient?a) Deep vein thrombosis.b) Hypertension.

RNSG 1413

Foundations for Nursing Practice

San Jacinto Community College

The nurse is assisting an older adult client with dementia in getting dressed after morning care. Which statement would be most beneficial to the client?

Put your arm in this sleeve.

A client will be ambulating for the first time since his cardiac surgery. What should the nurse consider when assisting this client?

If an ambulating client whom a nurse is assisting begins to fall, the nurse should slide the client down his own body to the floor, carefully protecting the client’s head.

A client will be ambulating for the first time since his cardiac surgery. What should the nurse consider when assisting this client?

If an ambulating client whom a nurse is assisting begins to fall, the nurse should slide the client down his own body to the floor, carefully protecting the client’s head.

When moving a client up in bed with the assistance of another caregiver, the nurse should:

have the client fold the arms across the chest.

When assisting a client from the bed into a wheelchair, the nurse assesses the client for signs of dizziness upon standing. For what adverse condition is the nurse assessing the client?

Orthostatic hypotensionDefinition

The nurse is preparing a client to be turned in bed. In what position would the nurse place the client to begin this procedure?Term

The nurse is caring for a client who is on bed rest and was just turned to the left side. Which action should the nurse take next to decrease the risk of impaired skin integrity?

Pull the shoulder blade forward and out from under the client.

A nurse is preparing to turn a hospitalized client age 65 years. Which action is a recommended guideline for performing this skill?

Position a friction-reducing sheet under the client.Definition

A nurse is performing range-of-motion exercises on a patient who is on bedrest. What would be the nurse’s best action when the patient complains: “I’m just too tired to do these exercises today.”Term

Stop the exercises and reevaluate the nursing plan of care.

A 45-year-old woman is admitted after undergoing a hysterectomy. She has been immobile for 2 days. She has a 20-year history of smoking. She also takes oral estrogen to manage her hot flashes. As a nurse assesses the client, she notices that the client's left leg is dark purple and measures 2 inches (5.08 cm) larger than her right leg. What is the client most at risk for?

The nurse moves a client’s arm from an outstretched position to a position at the side of his body. What is the term used to describe this type of body movement?Term

A nurse is recommending aerobic exercise for a client who is overweight. Which exercise might the nurse suggest? Term

The nursing student learns in Fundamentals that the primary purpose for using proper body mechanics is for which of the following reasons?

Acts to prevent injury to the client and/or nurse

The nurse observes an unlicensed assistive personnel (UAP) placing a client in the Fowler’s position. To prevent complications to the client, in which situation should the nurse intervene? Select all that apply.

• There is a large pillow under the client’s head. • The knee gatch on the bed is engaged. • The client’s foot is in the plantar flexion position.s

A nurse applies padded boots to maintain the foot in dorsiflexion on a client who is comatose. The nurse is protecting the client from

The client is ambulating in the room and walks around a bedside table. What is the best explanation for why the client does not bump into the table?

The client is aware of spatial relationships to avoid the table.

The nurse is performing range-of-motion exercises on a client’s arm. The nurse starts by lifting the arm forward to above the head of the client. Which action would the nurse perform next?

Return the arm to the starting position at the side of the body.

Two nurses are moving a client up in bed. What motion would the nurses use to counteract the client's weight?

Shift their weight back and forth, from back leg to front leg.

A client with a hip fracture is returning to the orthopedic unit, and the orders indicate that the client should be turned by logrolling. Which statement is correct regarding logrolling?

Use a drawsheet or a friction-reducing sheet to facilitate smooth movement.

The nurse is turning a patient in bed. Where would the nurse stand when using the friction-reducing sheet to turn the patient to the opposite side of the bed?

Opposite the patient's center.Definition

After positioning a client to move from the bed into a wheelchair, how would the nurse stand when helping the client to sit up on the side of the bed?

Near the client's hip, with legs shoulder-width apart and one foot near the head of the bed

The nurse is assisting a patient from the bed into a wheelchair. Which of the following is a recommended guideline for this procedure? Term

When assisting a patient from bed to wheelchair you should?

What should the nurse do prior to transferring the client out of bed to a chair?

What is the first step when transferring a client out of bed to a wheelchair?