FOUNDATIONS OF NURSING: Chapter 8 Body Mechanics and Patient Mobility

FOUNDATIONS OF NURSING: Chapter 8 Body Mechanics and Patient Mobility ATI AMBULATION, TRANSFERRING, RANGE OF MOTION POSTTEST QUESTIONS - As a nurse ambulates an unsteady patient, the patient becomes light headed and begins to fall. Which of the following interventions by the nurse is appropriate in this situation - extend one leg and allow the patient to slide down it a nurse is caring for a hospitalized patient who is performing active range-of-motion exercises. Which of the following body movements should indicate to the nurse the patient has full range of motion of the shoulder? - flexing the shoulder by raising the arm from a side position to a 180 degree angle A nurse in the emergency department is caring or a patient who has a new injury. The patient will be discharged and will be using a pair of axillary crutches for the first time. Which of the following instruction should the nurse include when discharging this patient? - hold the crutches on the unaffected side when preparing to sit in a chair A nurse stands facing a patient to demonstrate active range-of-motion exercises. Which of the following should the nurse do when demonstrating hyperextension of the hip? - move leg behind body A nurse is observing an assistive personnel AP who is using a mechanical lift with a hammock sling to transfer a patient from bed to a chair. The nurse should intervene if the AP - leaves the bed in the lowest position throughout the procedure A nurse is about to transfer to a chair a patient who has a weak left leg. Which of the following actions by the nurse demonstrates correct transfer technique? - aligning the nurse's knees with the patient's knees just before the transfer a nurse is performing a physical assessment on a patient and instruct the patient to stand with his feet together and arms at his sides. The purpose of positioning the patient in this manner is to test which of the following? - balance musculoskeletal disorders MDS - back injuries commonly seen in nurses who use poor body mechanics Equipment used to reduce the risk of injury for nurses - Mechanical Lift Slings Roller boards Sliders Friction-reduction pads Transfer chairs Gait belts Mechanical lift - head must be supported 2 people must be present patient is to be informed during entire transfer Body mechanics - movements that protect large muscle groups. the study of muscle actions and how muscles function in maintaing posture and prevention of injury Assistive devices - splints crutches braces canes gait belts alignment - Relationship of various body parts to one another helps with balance, and coordinate movements smoothly. base of support - a stance with feet shoulder width apart when standing. providing better stability GOOD BODY MECHANICS - bending the knees and hips never bend at the waist Work at height level use of large muscle groups (arm and shoulder, hip and thigh muscles). the more muscle groups used, the more evenly the workload distributed. slide patient toward yourself using a pull sheet tighten abs ans glute muscles stand directly in from to object or person