NCLEX-PN
Correct Response : A Explanation : This is because the healthcare facility has been directly impacted by the tornado. Tornadoes, cyclones, hurricanes, and other severe weather emergencies can be considered internal disasters when they directly affect the healthcare facility. Simultaneously, they can be external disasters when they also impact the lives of the community residents. Hurricane Katrina serves as a notable example of a weather emergency that influenced not just healthcare facilities but also the well-being of the community's residents. (See Disaster Categories ) 4. After your assessment of your client and the need to transfer your client from the bed to the chair, what is the best and safest way to transfer this paralyzed client when you suspect that you will need the help of another for the client’s first transfer out of bed? A. Use a slide board B. Use a mechanical lift C. Use a gait belt D. Notify the client’s doctor that the client cannot be safely transferred by you Correct Response : B Explanation : The safest method for moving a paralyzed client during their initial transfer from bed, especially when assistance from another person is required, is to use a mechanical lift . In this situation, there is no need to notify the doctor. Mechanical lifts are primarily employed for clients who are either obese and cannot be safely managed by two individuals or for clients who are unable to participate in their transfers, such as individuals with paralysis. While gait or transfer belts and slide boards are assistive devices designed for aiding with transfers and lifting, they are not suitable for this particular client based on the assessment. (See Assistive Lifting Devices ) 5. The nurse educates a client on proper infection control. Which information does the nurse share with the client as the priority action to control infections? A. Wear a mask when in public. Correct Response : B Explanation: Proper hand hygiene is the fundamental measure for infection prevention. It involves washing hands thoroughly with warm soapy water for at least 20 seconds. It's important to promote handwashing among all facility staff and individuals, encouraging them to do so before eating, drinking, providing care, and between client interactions. While wearing masks can help reduce respiratory infections, the most effective action for infection control remains consistent handwashing. Even when practicing limited public interactions, various microorganisms may still be present on objects brought into living spaces. Handwashing serves as a barrier to prevent these organisms from entering the body. Lastly, staying up to date on vaccinations is effective for certain infections but not all. (See Principles of Infection Control: Precautions ) B. Frequent handwashing C. Limit public exposure. D. Complete all vaccines.
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