Body Mechanics , Transfer And Positioning

Question 1

When should you remove SCDs

Answer 1

Remove when out of bed

Question 2

Why should you watch for tunings/ pumps

Answer 2

It’s a fall risk

Question 3

When should you removed TEDs and what should you do ?

Answer 3

Remove once a shift for 15-30 minuets. Assess skin

Let skin breathe

Question 4

What are TEDs and SCDs used for

Answer 4

thromboembolic devices
Promote venous return
Prevent venous pooling
Prevent passive dilation of veins and tears
SCDs (sequential compression devices)
Drives superficial blood into deep veins and prevent venous stasis/pooling

Question 5

Function of the incentive spirometer and what does it prevent ?

Answer 5

Helps patient to take deep breaths after surgery.

Respiratory complications

Question 6

When and Why is Turn cough and deep breath (TCDB) so important

Answer 6

Very important after surgery to keep lungs clear especially for those who has chest incisions

Question 7

What is active range of motion (AROM)

Answer 7

The patient is able to move joints without assistance

Question 8

What is passive range of Motion (PRM)

Answer 8

The nurse has to assist

Question 9

Why do we use ROM (range of motion)

Answer 9

Circulation
Prevent stiffness
Prevent blood clots

Question 10

What and when should you do when doing ROM

Answer 10

Move every joint slowly and don’t force
3-5 Times for each joint
Make sure you support the joint
Good to do when bathing or turning the patient

Question 11

What are some ambulating assistive devices

Answer 11

Canes
Walkers
Crutches

Question 12

When using a cane what side should you hold it on

Answer 12

Hold on stronger side

Question 13

Should the crutches touch the auxiliary

Answer 13

No

Question 14

How far should crutches be away from the body

Answer 14

6 inches

Question 15

When going up the stairs which leg should go up and which should go down

Answer 15

Up-lead with strong leg

Down- lead with weak leg

Question 16

What should you consider while ambulating ?

Answer 16

Condition and gait

Question 17

What should you do before allowing a patient to stand

Answer 17

Allow them to dangle for a few moments

Question 18

What should you use while ambulating

Answer 18

Gait belt if available

Question 19

Where should you brace the patient

Answer 19

Against my foot and knees

Question 20

If a patient begins to fall what should you do?

Answer 20

Do not try to stop them and call for help

Question 21

Why is the hand roll used

Answer 21

To prevent contraction

Question 22

Why is the cradle boot used

Answer 22

It’s a foamy boot that goes around the ankle to prevent pressure sores

Question 23

How many people do you need to log roll safely

Answer 23

3

Question 24

Semi flowed position

Answer 24

Usually when sleeping 45 degrees

Question 25

High flowers

Answer 25

Eating 90 degrees

Question 26

Position : bed flat with feet elevated and head down

Answer 26

Trendelenberg

Question 27

Bed flat with head elevated and feet down

Answer 27

Reverse trendelenberg

Question 28

Positioning : the correct position is vital to:

Answer 28

Promote comfort , prevent injury, and provide sensation

Question 29

Where should you tie a restraint

Answer 29

To the bed frame only

Question 30

Who can remove restrains

Answer 30

Only the nurse

Question 31

What are some least restrictive measures for restraints

Answer 31

1:1 supervision Calm them down Make sure you keep them close to the nurses station

Question 32

When should restraint orders be renewed

Answer 32

Every 24 hours

Question 33

When should you do an assignment on the patient in restraints and what are you checking for ?

Answer 33

``` Every two hours Capillary re-fill ROM Pulse No shirring or brushing Basic needs Not to tight/ loose ```

Question 34

When should you remove the restraints

Answer 34

When they are not combative (ASAP)

Question 35

What should you keep in mind if you opt to use and restraint

Answer 35

Tell why the restraints was used Who used the restraint What restraint was used Doctor order What did you do to prevent the restraints from Being used Keep in mind what are you trying to prevent the client from doing