Choose the correct answer(s). In some questions, more than one answer is correct
ID: 122707 • Letter: C
Question
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. How can you he certain that the wheels of a stretcher are locked before transferring a patient? a. Press the foot lock and announce loudly that the wheels are locked. b. Physically attempt to move the stretcher, even if you have locked the wheels. c. Bend down on one knee to ensure that the red lever is up and the green one is down. d. Assign one person to hold the stretcher in place while the patient is transferred. When you care for your assigned patient with paralysis of both legs, you are concerned about skin breakdown. Which nursing interventions would you use? a. Reposition him every 4 hours while he is in bed. b. Inspect bony prominences for redness every 2 hours. II found, massage around the area hut not on it. c. Dry skin thoroughly but gently after cleansing it with mild soap. d. Pat bony prominences with fluffy towels to relieve pressure points. c. Provide adequate nutrition so that the tissue can repair itself. A newly admitted patient with a diagnosis of rightsided weakness resulting front cerebrovascular attack puts on her light and asks for assistance to the bathroom. You have not yet assessed this patient's transfer abilities. What will you do? a. Ask the certified nursing assistant (CNA) assigned to the patient to carefully assist her to the bedside commode. b. Tell the CNA that the patient has right-sided weakness but can transfer with minimal assistance. c. Ask the CNA to accompany you and together transfer the patient to the bedside commode. d. Ask the CNA to assist the patient with a bed pan until you have time to get an order for a lift for her. You are concerned about the psychological effects of immobility on the patient you are caring for during your clinical experience. To help prevent psychological complications, you would avoid which of these interventions? a. Encourage the patient to stay awake during the day and allow natural light into the room. b. Encourage the patient to read, watch TV, solve puzzles, and interact with family and friends. c. Encourage the patient to do as much as possible during his personal care. d. Encourage the patient to look on the bright side and be glad that be is alive, even though he is paralyzed.Explanation / Answer
19. B. C. D are applicable.
There must be one house keeping with the nurse while transfering the patient, they can the stretcher whether it is locked or unlocked by seeing the red or green button opened up or try pusing the stretcher and notice if it is locked.
20. B. C. D.E are applicable
Changing position 4th horly is too late it leads to develope pressure soures. changing prosition every 2nd hourly, keeping skin dry after the cleanliness, smooth suport on bony promises and adequate nutrition are the good practices for chronic paralised patient
21. D is applicable,
since we do not assessed the patient transfer abilities, once it is done we can provide required assistance till then we can provide bed pan.
22. B is applicable, C is also applicable if he is semi paralised.
Putting him in a dark room is not the correct practice and they dont feel glad by seeing light , they feel more depressed about his immobility. Recreational activities make the person joyful and happy that would help for the fast recovery.