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    Hesi lpn exit proctored examQuestion 46
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    Hesi lpn exit proctored exam

    The practical nurse (PN) is preparing to transfer an older client from the bed to a wheelchair. Based on which finding should the PN request assistance when moving this client?

    Explanation & Rationale

    A. Presence of an indwelling catheter: An indwelling catheter does not typically require additional personnel for safe transfer. Standard precautions and careful positioning are usually sufficient. B. Stage two pressure ulcer on right buttock: While care must be taken to avoid pressure on the ulcer, a stage two ulcer does not usually necessitate extra assistance for a safe transfer. Proper technique and padding can protect the site. C. Low grade fever and warm, dry skin: Mild fever and skin warmth do not affect the client’s ability to participate in a transfer and do not require additional personnel. D. Impaired cognition and agitation: Clients who are confused or agitated may be unpredictable and pose a safety risk during transfers. Requesting assistance ensures both client and nurse safety, allowing for controlled and safe movement to the wheelchair.

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