NURS 125 WEEK 2 REVIEW QUESTIONS AND CORRECT ANSWERS
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Course
NUR 125
Institution
NUR 125
At what weight are you required to use assistive devices if required to lift more than 35 pounds of patient's weight
when would you use a trendelenburg position severe hypotension or shock.
Which intervention decreases the likelihood of a patient developing skin breakdown or pressure ulcers when ...
NURS 125 WEEK 2 REVIEW QUESTIONS
AND CORRECT ANSWERS
At what weight are you required to use assistive devices ✅if required to lift more than
35 pounds of patient's weight
when would you use a trendelenburg position ✅severe hypotension or shock.
Which intervention decreases the likelihood of a patient developing skin breakdown or
pressure ulcers when turned to the side? ✅Placing a pillow under the semiflexed
upper leg level with the hip from the groin to the foot
Which patient has the greatest risk of immobility complications? ✅An older adult
patient in traction
The practitioner has written an order for a patient with recent spinal surgery to be log
rolled every 2 hours. Which action should the nurse take? ✅Supervise and aid
assistive personnel with this responsibility.
Which intervention should be incorporated into the plan of care for a patient at risk for
pressure ulcer development? ✅Reposition the patient in the 30-degree lateral position.
Why should the nurse should place pillows under the feet of a patient in a semiprone
position? ✅Prevent plantar flexion contractures
After repositioning an older adult patient from the lateral left side-lying position, the
nurse documents the intervention. What should be documented as an unexpected
outcome of this positioning? ✅Redness on the left elbow
The nurse recognizes that additional family and patient education is necessary when a
family member makes which statement regarding positioning of her elderly father who is
in the Sims position? ✅"We should use his brace for positioning when his leg gets
stiff."
A patient with a decreased range of motion and weakness in the upper and lower
extremities is scheduled for discharge from the hospital. The nurse should recognize the
need for further teaching if the patient makes which statement? ✅"I should find a
comfortable position and stay there."
Before leaving a patient in the Sims position, the nurse should be concerned about
which characteristic of his or her positioning? ✅The dependent shoulder tucked under
, Which statement by the nurse is not appropriate before logrolling a patient ✅"Keep
your arms by your side while we are turning you."
A new nurse is helping move a patient up in bed. The performance evaluation reflects
that nurse injury prevention technique is followed when the new nurse performs which
action? ✅Raises the bed to a more comfortable position
A nurse observes that an obese patient has slipped down in bed. Which statement
describes how the nurse should move the patient up in bed if the patient can assist?
✅Standing next to the bed near the patient's upper body, positioning one arm under
the patient's head and the opposite shoulder, positioning the other arm under the
patient's closer shoulder and arm, and asking an assistant to assume the proper
position at the patient's lower torso
When the patient is able to assist and two nurses are working together to move him or
her up in bed, one nurse should instruct the patient to perform which action? ✅Assist
by pushing down with his or her feet on the bed surface.
A nurse is teaching a new nurse about proper body alignment. The nurse asks the new
nurse which parts of the patient's body should be aligned. Which response indicates
that the new nurse understands the information? ✅"The joints, tendons, ligaments, and
muscles"
After moving the patient up in bed, the nurse should be concerned by which finding?
✅The patient has a small reddened area on the heel.
A new nurse is attempting to place a drawsheet under a patient. The preceptor
recognizes that the nurse understands how to place the sheet appropriately when the
nurse takes which action? ✅The nurse rolls the patient onto his or her side.
A nurse is helping move a patient up in the bed. Which position should the nurse avoid?
✅Keeping his or her knees and hips locked
A patient with a decreased range of motion and weakness in the upper and lower
extremities is scheduled for discharge from the hospital. The nurse should recognize the
need for further teaching if the patient makes which statement? ✅"Discomfort is
expected, and I should find a comfortable position and remain in it."
Which position does not help maintain proper body alignment? ✅Lying supine with the
neck flexed and the chin to the chest
Which statement by the nurse would not be appropriate before moving a patient up in
bed ✅"You can remain still; please do not try to help push up in the bed."
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