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Exam (elaborations)

Chapter 16: Moving and Positioning Patients Questions With Complete Solutions

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Chapter 16: Moving and Positioning Patients Questions With Complete Solutions

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Chapter 16: Moving and Positioning Patients Questions
With Complete Solutions

A patient has a nasogastric tube (NG) inserted and is receiving
enteral tube feedings. While in bed, the patient is to be kept in
which position?

A) Low Fowler's or semi fowler's
B) Supine
C) Prone
D) Lithotomy
E) Dorsal recumbent Correct Answers Answer: A, Low
fowler's or semi fowler's

A patient has fallen. Which piece of equipment would the nurse
request a coworker to obtain while the nurse stays with the
patient?

A hydraulic patient lift
A slide sheet
A transfer belt
A sling-type battery-operated patient lift Correct Answers
Answer: A sling-type battery-operated patient lift.

Rationale: Sling-type battery-operated patient lifts are the device
of choice if a patient has fallen and requires assistance to be
returned to the bed or a chair. Using this device after a patient
has fallen reduces the chance of injury to patient or nursing
personnel.

,A patient was admitted to the hospital with a fractured hip.
Which are complications for immobility? Select all that apply.

A) Pneumonia
B) Embolus
C) Pressure Ulcer
D) Fever Correct Answers Answer: A, B, C

A patient who is immobile from skeletal traction has been
drinking 8 ounces of fluids every 2 hours since 10 a.m. It is now
6:30 p.m. and the patient has not voided once during this time.
Which action should the nurse take?

Encourage more fluids.
Notify the registered nurse (RN).
Reposition the patient.
Continue to monitor intake and output Correct Answers
Answer: Notify the registered nurse (RN).

Rationale: It has been more than 8 hours since the patient has
voided. The RN or health-care provider should be notified.
Patients should void at least every 8 hours.

A pediatric patient is having an asthma attack. The nurse should
place the patient in which position?

Lithotomy
Low Fowler's
Orthopneic
Dorsal recumbent Correct Answers Answer: Orthopneic

, Rationale: The orthopneic position assists patients in severe
respiratory distress by allowing the chest to expand to maximum
capacity for moving air in and out of the lungs.

American Nurses Association (ANA) Correct Answers -Has
instituted the Handel With Care campaign in response to
significant musculoskeletal disorders reports by nurses
-Purpose of campaign is to prevent musculoskeletal disorders
-There has been a marked decrease in reported lifting-related
injuries in health care workplace
-Has published "Safe Patient Handling and Mobility", which
includes standards for lifting and moving patients across the
continuum of care

As the nurse is ambulating a patient, the patient states, "I feel
like I am going to pass out," and the patient begins to slump.
Which action should the nurse take?

Hold the patient upright.
Bend back to lower the patient to the floor.
Pull the patient toward the nurse.
Slide the patient down the front of the nurse's leg. Correct
Answers Answer: Pull the patient toward the nurse.

Rationale: If the patient begins to fall or faint, pull the patient
toward the nurse.

Complications of Immobility Correct Answers -Blood clots
( CVA, MI, lungs)
-Pneumonia (added complications)
-Bone demineralization (prone to osteoporosis)

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