To transfer the patient who has normal weight bearing and upper ...

[Capo]

To transfer the patient who has normal weight bearing and upper body strength out of bed to a chair, what should the nurse do?
 
  a. Grab the patient under the axilla to lift.
  b. Have the patient move forward with the weak side.
  c. Have the patient put on shoes with nonskid soles.
  d. Place the chair in a position 90 degrees opposite the bed.

Question 2

The nurse is preparing to take the patient's temperature. Which of the following may cause the temperature to fluctuate? (Select all that apply.)
 
  a. Age
  b. Stress
  c. Hormones
  d. Medications

[kishoreddi]

Answer to Question 1

C
Assist the patient to apply stable nonskid shoes. Nonskid soles decrease the risk of slipping during transfer. Always have the patient wear shoes during transfer; bare feet increase the risk for falls. A transfer belt allows the nurse to maintain stability of the patient during transfer and reduces the risk of falling. A transfer belt provides movement of the patient at the center of gravity. Patients should never be lifted by or under the arms. If the patient demonstrates weakness or paralysis of one side of the body, place a chair on the patient's strong side. The patient would move forward toward the strong side. Have the chair in position at a 45-degree angle to the bed.

Answer to Question 2

A, B, C, D
Older adults have a narrower range of temperature than younger adults. A temperature within an acceptable range in an adult may reflect a fever in an older adult. Undeveloped temperature control mechanisms in infants and children cause temperature to rise and fall rapidly. Stress elevates temperature. Women have wider temperature fluctuations than men because of menstrual cycle hormonal changes; body temperature varies during menopause. Some drugs impair or promote sweating, vasoconstriction, or vasodilation, or interfere with the ability of the hypothalamus to regulate temperature.