Complete Solutions
A nurse delegates the task of assisting patients with ambulation
to a nursing assistant. The nurse intervenes when observing the
nursing assistant implements which action?
holds the transfer belt loosely near the patients body while
ambulating
The nurse provides care to a patient who begins to fall during
ambulation. Which nursing action ensures safety for the nurse
and the patient in this situation?
allowing the patient to slide down the nurses leg to the floor
The nurse provides care to a patient who develops respiratory
distress. The patient needs to be positioned to allow for the chest
to expand to maximum capacity for moving air in and out of the
lungs. In which position does the nurse place the patient?
orthopneic
Which positioning device does the nurse place to prevent the
patient from experiencing an external rotation of the legs?
a trochanter roll
The nurse presents information regarding the Handle with care
campaign that was instituted by the American Nurses
Association(ANA) to new staff members. Which staff member
statements indicate a correct understanding of the information
presented?
,The purpose of the Handle with Care campaign is to build an
industry-wide program in health care to prevent musculoskeletal
injuries.
A patient lies in a special type of bed frame that allows the
entire bed to turn from side to side. The mattress is low air-loss
and the bed can be programmed to turn by degrees at set
intervals. Which term does the nurse use when documenting
information about this bed in the patients medical record?
continuous lateral-rotation bed
The nurse provides care to a patient who is at risk for
integumentary complications. Which interventions does the
nurse include in the patients plan of care based on this
information?
maintaining adequate nutrition, using mild soaps for cleansing
the skin, and inspecting bony prominences at least every 2 hours
The nurse provides care for an immobile patient. Which
interventions does the nurse include in the patients' plan of care
to prevent psychological complications for this patient?
Distracting the patient by turning on the television, encouraging
the patient to stay awake most of the day, and talking to the
patient about photographs of the adult children
Which of the following would not be considered a consequence
of immobility affecting the musculoskeletal system?
Skin breakdown and pressure injuries
, Number the following steps for assisting a patient to dangle in
the correct sequence
The patient becomes dizzy while dangling
raise the head of the bed
Take the patients vital signs and document
For the safest patient transfer, which devices are the best to use?
transfer belt
webbed nylon sheets
ovberhead ceiling lift
The purpose of Handle with care campaign, which is supported
by the ANA, is to:
prevent injuries to nurses by increasing the use of assistive
devices for moving and lifting patients.
A male patient in the supine position is
lying flat on his back with legs extended and arms to the side
The ideal method for transferring a patient includes which of the
following steps?
Assessing the situation and the environment
Properly using transfer or lift devices
using the appropriate number of staff members
explaining the procedure to the patient
The purpose of dangling is to
check for changes in vital signs with position changes
prevent possible syncope and injury
determine if it is sage for the patent to ambulate or transfer