Activity

Question 1

what percent of nursing back injuries are preventable

Answer 1

89%

Question 2

what are some variables leading to back injury in health care workers

Answer 2

manual lifing
uncoordinated lifts
exceeding recommended lift weight limits
using outdated techniques
transferring/repositioning uncooperative or confused patients

Question 3

what is the proper body mechanics when lifting

Answer 3

work close to an object
face the direction of movement
slide, roll, push, or pull rater than lift
brand base of support
flex your knees and straight back
strong core
low center of gravity
use the longest and strongest bones for power
use the weight of your body by rocking

Question 4

what is the recommended weight limit for lifting

Answer 4

35lbs

Question 5

what position do we not put patients in

Answer 5

trendelenburg

Question 6

what does no manual lift- safe patient handling laws enforce

Answer 6

hospitals must provide living devices

Question 7

effects of immobility
increase

Answer 7

cardiac workload
risk for venous thrombosis
urinary stasis
risk for contractures
risk for skin breakdown
sense of powerlessness
bone loss
work of breathing

Question 8

effects of immobility
decrease

Answer 8

depth of respiration
rate of respiration
bladder muscle tone
muscle size, tone and strength
endurance, stability, coordination
sensory stimulation

Question 9

patients on bed rest had a higher incidence of

Answer 9

death

Question 10

AM PAC 6 clicks
1-4 score

Answer 10

turning over in bed
sitting down and standing up from chair with arms
moving from lying on back to sitting on the side of the bed
moving to and from a bed to a chair
need to walk in hospital room
climbing 3-5 steps with railing

Question 11

what is paired with the AMPAC 6 clicks

Answer 11

John hopkins

Question 12

what does the John Hopkins determine

Answer 12

based on the score of the AMPAC 6 clicks it tells us what activity the patient should be doing

Question 13

what is the clinical site progressive exclusion criteria

Answer 13

physiologically unstable patients
hypotensive
new EKG changes
elevated cardiac enzymes
INR >5 PTT >100 (clotting test, these patients are at risk for bleeding)
patient who does not respond to verbal stimuli
suspected spinal trauma
unstable fractures
presence of femoral sheath
thrombolytic administration

Question 14

what are some nursing interventions to promote safety and activity

Answer 14

ambulating
PROM
AROM
postion changes
trapeze bars
side rails
physical therapy consults
avoid knee catching
log rolling
specialty beds

Question 15

what does the P in PROM stand for

Answer 15

passive

Question 16

what does the A in AROM stand for

Answer 16

active

Question 17

how often do we turn

Answer 17

Q2

Question 18

fowlers degree

Answer 18

45-60

Question 19

semi fowlers degree

Answer 19

30

Question 20

high fowlers degree

Answer 20

90

Question 21

what is protective positioning

Answer 21

we use things like pillows to protect the bony prominences, this might prevent a pressure injury

Question 22

what is knee watching

Answer 22

where the knees are bent

Question 23

orthopneic postion

Answer 23

90 degrees and leaning on a table

Question 24

prone

Answer 24

on belly and head laying on pillow to the side

Question 25

what does prone position help with

Answer 25

perfusion

Question 26

what illness/disease do we use the prone position

Answer 26

COVID

Question 27

when we use the lateral side lying what is important to add

Answer 27

Protective positioning with a pillow in-between legs to prevent knee on knee and ankle on ankle

Question 28

malleolus

Answer 28

inner ankle bony prominences

Question 29

sims postion

Answer 29

laying on stomach to the side a little face to the side on a pillow one arm is faced toward the face other arm is bent behind the back protective positioning under the knee

Question 30

lithotomy

Answer 30

lying flat but legs up in air almost in stirup position when at the OBGYN

Question 31

trendelenburg

Answer 31

head down feet up

Question 32

reverse trendelneburg

Answer 32

head up feet down

Question 33

what can we use for protective positioning

Answer 33

pillows pressure reducing mattress support boots hand rolls trochanter rolls

Question 34

what do hand rolls do

Answer 34

prevent clinched fist

Question 35

what do trochanter rolls do

Answer 35

prevent externally rotating hips which lead to a not normal postion

Question 36

log rolling is used for

Answer 36

patient who need to have head, neck and spine in line the whole time

Question 37

when we are moving patients what would we tell them to do with their hands

Answer 37

put them on their chest

Question 38

we can prop patients up with a wedge which could allow what area to not have pressure

Answer 38

sarcum

Question 39

we use foot boots which look like hightop sneakers to prevent what condition

Answer 39

foot drop

Question 40

the foot boots that prevent foot drop also help prevent pressure injuries where

Answer 40

on the heel

Question 41

we would use a bed cradle for patients who have

Answer 41

burns

Question 42

patients who are able to walk normally

Answer 42

don't walk on their own accords

Question 43

when we have a one nurse assist where do we help the patient

Answer 43

on the weak side

Question 44

walkers are adjusted to the height of the patients

Answer 44

hip

Question 45

how do we walk with a cane

Answer 45

advance cane advance weak leg advance strong leg

Question 46

what side do patients hold the cane

Answer 46

on the strong side

Question 47

2 types of crutches

Answer 47

axillary forearm