Practice Quiz

Certified Nursing Assistant Exam Prep

Category - Physical Care

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A client preparing to transfer from bed to a wheelchair complains of feeling lightheaded and dizzy as he rises from a supine to a sitting position. Which of the following actions should the nurse assistant take next?
  1. Lift the client quickly into the wheelchair.
  2. Return the client to the supine position and apply a safety vest.
  3. Ask the client to dangle at the bedside while leaving the room for a few seconds to get assistance.
  4. Have the client sit at the side of the bed for a few minutes while supporting his back and shoulders.
Explanation
Answer: D - A quick change in position will decrease the blood pressure, causing momentary lightheadedness and dizziness. An additional change in position may further reduce the client’s blood pressure to a level that may require emergency assistance. This can be avoided by waiting with the client in the sitting position until the blood pressure stabilizes. Leaving the room may put the client in danger if the blood pressure decreases further and the client needs emergency assistance. If the client continues to complain of dizziness and lightheadedness, then return the client to bed. A safety vest isn’t necessary.
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