The nurse is helping a client walk in the hallway when the client ...

[P68T]

The nurse is helping a client walk in the hallway when the client suddenly reaches for the handrail and states, I feel so weak. I think I am going to pass out. Which of the following initial actions by the nurse is appropriate?
 
  A) Firmly grasp the client's gait belt.
  B) Support the client's body against yours and gently slide the client onto the floor.
  C) Ask the client to lean against the wall while you obtain a wheelchair.
  D) Apply oxygen and wait several minutes for the weakness to pass.
  E) Ask the patient, When was the last time you ate?

Question 2

The nurse cares for a newly admitted client who will soon need to be taken to the radiology department for a CT scan. The client has a Body Mass Index (BMI) of 52. Which of the following strategies to transport the client is most appropriate?
 
  A) Obtain a mechanical lateral transfer device to move the client onto a stretcher.
  B) Enlist the aid of two other staff members and pull the client across the bed and onto a stretcher.
  C) Position a friction-reducing sheet under the client before attempting the transfer.
  D) Transport the client to the radiology department in the hospital bed.

[Meganchabluk]

Answer to Question 1

Ans: B
Assessing for the potential causes of the weakness should occur after the client's safety is assured.

Answer to Question 2

Ans: A
The combined weight of the bed and client will be difficult to move safely. Additionally, this strategy does not address the need to transfer the client onto, and off of, equipment in the radiology department.