Multi Dimensional Care | Final Exam

Correct Answer: A

Rationale: Assessing the radial pulse checks for adequate circulation and potential complications.

Correct Answer: D

Rationale: Proper body mechanics include holding objects close to the body to prevent injury.

Correct Answer: C

Rationale: Tilting the head may indicate a visual impairment as the client attempts to compensate for vision loss.

Correct Answer: D

Rationale: The correct response is to assess the pain intensity by asking the client to rate their pain on a scale of 0-10. This helps the nurse to effectively manage the client's pain. Choice A is incorrect as it dismisses the client's pain without proper assessment. Choice B is incorrect as it assumes the pain is phantom limb pain without assessing the client's current condition. Choice C is incorrect as it invalidates the client's pain experience and does not address the issue at hand.

Correct Answer: B

Rationale: A mechanical lift is the most suitable device for a client who is immobile as it provides safe and efficient assistance in moving the individual. A standing assist device is used for support during standing activities, not for transferring an immobile client. A transfer board is helpful for assisting a client in sliding from one surface to another but may not be the best option for someone who is completely immobile. A gait belt is used for providing support and stability during walking or transferring, which may not be effective for a client who is immobile and requires more comprehensive assistance.