CLINICAL NURSING SKILLS AND TECHNIQUES
BY ANNE GRIFFIN PERRY CERTIFICATION
PREPARATION GUIDE
◉ 2.
A patient with a proprioceptive disorder is being assessed for his
ability to walk from bed to chair. You notice that the patient is bent
forward and is leaning toward the right. Which nursing diagnosis
would be the primary one on which to base his care?
Activity intolerance
Risk for injury
Chronic pain
Nutrition: less than body requirements.
Answer: Risk for injury
,◉ 3.
The patient is being log-rolled onto his right side. The patient's
position would be correct if what assessment was observed?
The patient is left in Sims' position.
The patient is moved in a smooth, continuous motion.
Two pillows are placed behind the patient's back while on his side.
A straight line is evident from the shoulder to the hip..
Answer: A straight line is evident from the shoulder to the hip.
◉ 4.Positioning a hemiplegic patient in Fowler's position will
increase the patient's: (Select all that apply.)
ventilatory capacity.
, cardiac output.
ability to swallow.
risk of aspiration..
Answer: ventilatory capacity.
cardiac output.
ability to swallow.
◉ 5. Place the following steps in the sequence that promotes safe
transfer of a patient from a wheelchair to a bed.
1. Adjust the height of the bed to the level of the seat of the
wheelchair and position the wheelchair at a 45-degree angle next to
the bed.
2. Instruct the patient to stand on the count of three.
3. Lock the wheelchair. Locks are located above the rims of the
wheels. Push forward to lock.
4. Raise the footplates.
5. Position yourself slightly in front of the patient to guard and
protect the patient throughout the transfer.
6. Place a transfer belt on the patient and assist the patient to move
to the front of the wheelchair.
1, 2, 3, 6, 4, 5
BY ANNE GRIFFIN PERRY CERTIFICATION
PREPARATION GUIDE
◉ 2.
A patient with a proprioceptive disorder is being assessed for his
ability to walk from bed to chair. You notice that the patient is bent
forward and is leaning toward the right. Which nursing diagnosis
would be the primary one on which to base his care?
Activity intolerance
Risk for injury
Chronic pain
Nutrition: less than body requirements.
Answer: Risk for injury
,◉ 3.
The patient is being log-rolled onto his right side. The patient's
position would be correct if what assessment was observed?
The patient is left in Sims' position.
The patient is moved in a smooth, continuous motion.
Two pillows are placed behind the patient's back while on his side.
A straight line is evident from the shoulder to the hip..
Answer: A straight line is evident from the shoulder to the hip.
◉ 4.Positioning a hemiplegic patient in Fowler's position will
increase the patient's: (Select all that apply.)
ventilatory capacity.
, cardiac output.
ability to swallow.
risk of aspiration..
Answer: ventilatory capacity.
cardiac output.
ability to swallow.
◉ 5. Place the following steps in the sequence that promotes safe
transfer of a patient from a wheelchair to a bed.
1. Adjust the height of the bed to the level of the seat of the
wheelchair and position the wheelchair at a 45-degree angle next to
the bed.
2. Instruct the patient to stand on the count of three.
3. Lock the wheelchair. Locks are located above the rims of the
wheels. Push forward to lock.
4. Raise the footplates.
5. Position yourself slightly in front of the patient to guard and
protect the patient throughout the transfer.
6. Place a transfer belt on the patient and assist the patient to move
to the front of the wheelchair.
1, 2, 3, 6, 4, 5
