If during a transfer of a patient to a standing position by the nurse, the patient is unable
to leave the bed, the first action that should be taken by the nurse is
a. Reposition the patient into a safe position on the bed.
b. apply a second transfer belt on the patient.
c. seek more personnel to assist in transferring
d. Assesses the patient for unknown weakness - Answer a. Return the patient to safe
position on the bed.
The nurse wants to transfer a patient from the bed to the chair by using a mechanical
lift. the patient has difficulty following directions and the nurse can I find help. which is
the most important action for the nurse to implement?
A. Assure the patient that the lift is safe
B. Used two safety chains on a canvas sling
C. Delay the transfer until help are found
D. Double check the wheel locks on the lift - Answer C. Delay the transfer until help are
found
The nurse is educating a caregiver about measures to promote patient safety while
transferring the patient to a chair. Which of the following should the nurse teach when
discussing the patient's right-sided weakness?
A. After the patient is sitting on the edge of the bed, place the chair to the patient's right
side
B. Sit on the edge of the bed then place the chair to the patient's left side
C. After sitting the patient on the edge of the bed, place the chair wherever the patient
,wants
D. Place chair wherever the caregiver wants it after the patient is sat on the edge of the
bed - Answer B. Sit on edge of bed, then place chair to patient's left side
A patient is being transferred into a dangling position prior to ambulating. To reduce the
risk of orthostatic hypotension what action can the patient perform
A. Sit on the side of the bed for a minute before standing up
B. Take several deep breath while moving into the dangling position
C. Push-up from the bed into the dangling position on the side of the bed
D. Stretch all of the muscles in the body.
Answer A. Sit on the side of the bed for a minute
Which of the following should the nurse implement to reduce the risk of plantar flexion
(footdrop) of a client who is on extended bedrest?
A. Trapeze bar
B. Foot boot
C. Trochanter roll
D. 30-degree lateral positioning
Answer B. Foot boot
The patient with a hemiparesis is very resistant to transferring from the bed to the chair
with the new nurses assistance. Which action should this nurse take first to accomplish
the transfer?
A. Describe how the transfer of the patient will be safely done
B. Inquire about how the patient typically transfers
C. Record that the patient refused assistance with the transfer
D. A healthcare provider ordered a transfer. - Answer B. Ask questions regarding how
,the patient normally transfers
When performing range of motion exercises the nurse should work in a head to toe
pattern
True or False - Answer True
It is paramount that a nurse "catch" or take on the patients weight should a patient
become unstable and start to fall to prevent patient injury.
True or False - Answer False
Contractures on an immobile patient can develop in a little as eight hours if the patient is
not mobilized
True or False - Answer True
When immobility adversely affects of muscular and integumentary systems, there is little
evidence to show that immobility will advertently affect the cardiovascular or
respiratory system
True or False - Answer False
A number of factors influence a patient's personal preferences for hygiene. Because of
this it is important for the nurse to realize which of the following?
A. No two individuals before and hygiene in the same manner
B. It is important to standardize a patient hygienic practises
C. Hygiene care is always routine and expected
, D.Hygiene is not the time to learn about patient needs. - Answer A. No two individuals
before and hygiene in the same manner
The nurse is caring for a patient who refuses " a.m." care. When asked why, the patient
tells the nurse that she always bathes in the evening. how should the nurse respond?
A. Reschedule the bath until evening and pass on the information to the next shift
B. Tell the resident she must be because that is the "usual" ritual
C. Educate the resident about why hygiene needs to be done in the morning
D. Forget hygiene for the day and try again the following morning. -Answer A.
Reschedule the bath until evening and notify the next shift
The patient is bed bound and requires a full line and change. Which of the following is
the best way to remove the bottom linens?
A. Ask the patient to lift his or her leg off the bed and remove the bottom linens
B. Leave the top sheet over the patient and gradually turn him or her first to one side,
then to the other to remove the bottom linens.
C. Keep the patient on the left side and get extra help to remove the bottom linens
quickly
D. Do not remove the bottom linens so as to not upset the patient - Answer B. Keep the
top sheet over the patient and slowly roll him or her to each side to remove the bottom
linens.
The patient's skin is thin and tight. Which approach should the nurse implement to
maintain skin integrity.
A. Increase bathing to three times daily
B. Use very mild soap when bathing
C. Avoid the use of lotions
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