ATI PN Fundamentals 2020 with NGN Updated 2024
ATI PN Fundamentals 2020 with NGN Updated 2024 ( 41 Questions)
A nurse is assisting in the transfer of a client who has left-sided weakness from a bed to a chair.
Which of the following actions should the nurse take?
Choice A is wrong because raising the bed to waist level before moving the client can increase the risk of falls and make it harder for the client to stand up.
The bed should be in the lowest position throughout the procedure.
Choice B is wrong because pivoting on the foot farthest from the bed when assisting the client into the chair can cause twisting and strain on the client’s back and legs.
The nurse should pivot on the foot closest to the bed and instruct the client to do the same.
The correct answer is choice C. The nurse should stand on the client’s stronger side when moving the client into the chair. This will allow the nurse to support the client’s weaker side and prevent injury.
Choice D is wrong because grasping the client under the axillae to assist them to their feet can damage the client’s nerves and muscles in the shoulder area.
The nurse should use a gait belt around the client’s waist and grasp it firmly with both hands.
The correct answer is choice C. The nurse should stand on the client’s stronger side when moving the client into the chair. This will allow the nurse to support the client’s weaker side and prevent injury.
According to the search results, aligning the nurse’s knee with the client’s knees just before the transfer is a correct strategy that helps the nurse safely stabilize the client while moving to a standing position.
Choice A is wrong because raising the bed to waist level before moving the client can increase the risk of falls and make it harder for the client to stand up.
The bed should be in the lowest position throughout the procedure.
Choice B is wrong because pivoting on the foot farthest from the bed when assisting the client into the chair can cause twisting and strain on the client’s back and legs.
The nurse should pivot on the foot closest to the bed and instruct the client to do the same.
Choice D is wrong because grasping the client under the axillae to assist them to their feet can damage the client’s nerves and muscles in the shoulder area.
The nurse should use a gait belt around the client’s waist and grasp it firmly with both hands.