Boost Skills: NCLEX Daily Questions #09

November 09, 2024

Saturday

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The nurse is caring for a client who weighs 450 lb (204.1 kg) 2 days after bariatric surgery. The client is pleasant, cooperative, and able to fully bear weight. What would be the most appropriate method for transferring this client safely?

2-person full-body sling lift

1-person safety standby with walker

2-person standing-assist lift

4-person full-body sling lift

When determining the most appropriate method to transfer a client safely, the nurse should assess: 1. Whether the client can bear weight 2. Whether the client is cooperative This client is able to bear full weight despite having a heavy body and can cooperate during the transfer. Therefore, such clients should be encouraged to do as much as they can for themselves, anticipating discharge in the near future. It is appropriate to transfer this client with 1 person standing by for safety. If the client was unable to bear full weight, more assistance would be needed. The number of caregivers providing assistance during the transfer of a heavier client should be Increased to promote safety for the client and staff. When working with bariatric clients, equipment that has the capacity to bear the client's full weight and accommodate their size should be used while maintaining the client's dignity throughout the process.

(Options 2 and 3) These would not be necessary as this client can fully bear weight and cooperate with caregiver instructions during the transfer.

(Option 4) A 4-person sling lift transfer is appropriate for the bariatric client who cannot bear weight or cooperate with the transfer.

Educational objective: A client who is able to fully bear weight and cooperate can transfer independently with standby assistance for safety. If there is any concern for caregiver or client safety during the transfer of a bariatric client, the type of equipment should be reconsidered and the number of caregivers should be increased.

When determining the most appropriate method to transfer a client safely, the nurse should assess: 1. Whether the client can bear weight 2. Whether the client is cooperative This client is able to bear full weight despite having a heavy body and can cooperate during the transfer. Therefore, such clients should be encouraged to do as much as they can for themselves, anticipating discharge in the near future. It is appropriate to transfer this client with 1 person standing by for safety. If the client was unable to bear full weight, more assistance would be needed. The number of caregivers providing assistance during the transfer of a heavier client should be Increased to promote safety for the client and staff. When working with bariatric clients, equipment that has the capacity to bear the client's full weight and accommodate their size should be used while maintaining the client's dignity throughout the process.

(Options 2 and 3) These would not be necessary as this client can fully bear weight and cooperate with caregiver instructions during the transfer.

(Option 4) A 4-person sling lift transfer is appropriate for the bariatric client who cannot bear weight or cooperate with the transfer.

Educational objective: A client who is able to fully bear weight and cooperate can transfer independently with standby assistance for safety. If there is any concern for caregiver or client safety during the transfer of a bariatric client, the type of equipment should be reconsidered and the number of caregivers should be increased.

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Boost Skills: NCLEX Daily Questions #09

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