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- The nurse uses proper body mechanics to move a client up in bed. What action by the nurse will increase their risk of a workplace injury?A. Use the legs when liftingB. Place The bed in the lowest possible positionC. Keep feet apart to provide a wide base of support. D.Face the direction of the movementwhile helping a patient with a chest tube reposition in the bed, the chest tube becomes dislodged. what is your immediate nursing intervention?A nurse is caring for a 26-year-old male patient who hasbeen hospitalized for a spinal cord injury following a motorvehicle accident. Which action would the nurse perform whenlogrolling the patient to reposition him on his side?a. Have the patient extend his arms outward and cross hislegs on top of a pillow.b. Stand at the side of the bed in which the patient will beturned while another nurse gently pushes the patient fromthe other side.c. Have the patient cross his arms on his chest and place apillow between his knees.d. Place a cervical collar on the patient’s neck and gently rollhim to the other side of the bed.
- The Joint Commission issues guidelines regarding the use ofrestraints. In which case is a restraint properly used?a. The nurse positions a patient in a supine position prior toapplying wrist restraints.b. The nurse ensures that two fingers can be inserted betweenthe restraint and patient’s ankle.c. The nurse applies a cloth restraint to the left hand of apatient with an IV catheter in the right wrist.d. The nurse ties an elbow restraint to the raised side rail of apatient’s bed.Mrs. Donnelly is a 70-year-old who must use the bedpan because she is on complete bed rest. She finds it difficult to move easily and usually cannot raise her hips to get on the bedpan. She tells you she will try to assist you as much as she can. You first attempt to have her lift her hips, and when that method does not work well, you roll her onto the bedpan. Consider these questions about how you carried out this procedure as the support worker. What steps did you take to make sure she was comfortable? How was the head of the bed positioned? What steps did you use to remove the pan? What difficulties did you have getting the pan out from under Mrs. Donnelly? If the bedpan had urine in it, how would you have prevented spilling it during the procedure?What consideration should the nurse keep in mind regardingthe use of side rails for a confused patient?a. They prevent confused patients from wandering.b. A history of a previous fall from a bed with raised siderails is insignificant.c. Alternative measures are ineffective to prevent wandering.d. A person of small stature is at increased risk for injuryfrom entrapment.
- Mrs. Donnelly is a 70-year-old who must use the bedpan because she is on complete bed rest. She finds it difficult to move easily and usually cannot raise her hips to get on the bedpan. She tells you she will try to assist you as much as she can. You first attempt to have her lift her hips, and when that method does not work well, you roll her onto the bedpan. Consider these questions about how you carried out this procedure as the support worker. What are the equipment you have prepared for the procedure? What did you do to provide privacy and safety for Mrs. Donnelly? How did you position her to see if she could help you by lifting her hips? What difficulties did you have getting the pan under her with her help? What difficulties did you have rolling her onto the pan? How well was she positioned on the pan? What adjustments were needed to place her at the center of the bedpan? What steps did you take to make sure she was comfortable? How was the head of the bed positioned?…Answer the following? The Joint Commission issues guidelines regarding the use ofrestraints. In which case is a restraint properly used?a. The nurse positions a patient in a supine position prior toapplying wrist restraints.b. The nurse ensures that two fingers can be inserted betweenthe restraint and patient’s ankle.c. The nurse applies a cloth restraint to the left hand of apatient with an IV catheter in the right wrist.d. The nurse ties an elbow restraint to the raised side rail of apatient’s bed.The practical nurse (PN) is caring for a client who has a fractured right tibia and fibula. To reduce swelling and promote comfort, the PN should place the client in which position? A Dorsal recumbent with the right leg elevated on two pillows. B Supine with a footboard and a trochanter roll to the right leg.C Left lateral recumbent position with the right leg supported in proper alignment. D Right lateral with a pillow between the legs.
- A nurse is ambulating a 48-year-old female patient for thefirst time following surgery for a knee replacement. Shortlyafter beginning to walk, the patient tells the nurse that she isdizzy and feels like she might fall. Place these nursing actions in the order in which the nurse should perform them to pro-tect the patient: a. Grasp the gait belt.b. Stay with the patient and call for help.c. Place feet wide apart with one foot in front.d. Gently slide patient down to the floor, protecting her head.e. Pull the weight of the patient backward against your body.f. Rock your pelvis out on the side of the patient.The practical nurse (PN) is caring for a client who has a fractured right tibia and fibula. To reduce swelling and promote comfort, the PN should place the client in which position? A Dorsal recumbent with the right leg elevated on two pillows. B Supine with a foot board and a trochanter roll to the right leg.C Left lateral recumbent position with the right leg supported in proper alignment. D Right lateral with a pillow between the legs.What specific interventions will you use to address the affected UE? How might you address their trunk/posture and positioning in different positions (bed, w/c, standing)? What will you teach your patient/family to work on outside of treatment times? Your patient had a L CVA (R hemiparesis) 2 days ago and has a flaccid RUE. They have difficulty standing, keeping their weight on their L side. They demonstrate slight lateral trunk flexion to the R in sitting and supine with slight cervical flexion to the R. While seated and standing, their weight is shifted to the L.
