Ch 10 Flashcards
(10 cards)
A client is to be placed in a dorsal recumbent position. How should the nurse position this client?
- In a semisitting position in which the head and trunk are raised and flexed
- In a sitting position on the side of the bed with an overbed table across the lap
- In a back lying position in which the clients head and shoulders are slightly elevated on a small pillow
- In a lying position on the abdomen with the head turned to one side
3
A nurse gathers three other people on the unit to assist in the transfer of a client. Which staff member needs to be corrected for use of proper body mechanics before the lift starts?
- The staff member who assumes a wide stance
- The staff member who is stretching to reach the client’s transfer sheet
- The staff member who faces the direction of the movement
- The staff member who adjusts the work area to waist level
2
Which statement identifies correct safety info for nurses/
- Nurses who are physically fit sustain fewer injuries than their less active coworkers
- A nurse should not lift over 35 lbs of client body weight
- Back belts are likely to be effective in reducing back injuries
- Training nurses in body mechanics alone will prevent job related injuries
2
Which steps will the nurse need to perform to move a client up in bed? Select all that apply
- Remove all pillows, then place one against the head of the bed
- Elicit the client’s help in lessening the workload when possible
- Face opposite the direction of movement, and then assume a broad stance
- Ensure client comfort
- Use a friction reducing device to help pull the client up in bed
1, 2, 4, and 5
The nurse asks a nursing student to support the client’s leg to prevent its external rotation while supine. Which assistive device should the student use?
- A trochanter roll
- A footboard
- A hand roll
- An abduction pillow
1
Which nursing action supports the nurse’s intervention to align and support a client in the Sim’s position?
- A sandbag to support feet in extension to prevent foot drop
- A pillow under the lower leg to prevent internal rotation and abduction of the hip and leg
- A pillow under the upper arm to prevent external rotation of shoulder and arm
- A pillow to support the head, maintaining it in good alignment
4
A nurse is attending an in service on moving and lifting clients. Which statement by the nurse requires clarification by the educator?
- “Appropriate numbers of staff should be used to perform the maneuver’
- ‘Appropriate assistive devices should be used to perform the maneuver’
- ‘The height of the bed should be raised to bring the client close to my center of gravity’
- ‘I should rock from my back leg to my front leg when pulling a client’
4
Which client who requires repositioning could be safely delegated to the UAP by the nurse?
- A client who is 6 hours post lumbar laminectomy
- A client who was involved in a car crash this morning and is being evaluated for a cervical injury
- A client in a chronic vegetative state
- A client who was intubated and placed on a ventilator this morning
3
The nurse is preparing to use a hydraulic lift to move the client into the bedside chair. What is the priority action for the nurse before beginning the skill?
- Position the client on the sling
- Explain the procedure to the client
- Lift the client gradually
- Apply gloves
2
The nurse is working in a long term care facility and is caring for a client in chronic vegetative state. It is important for the nurse to document which of the following in the client’s medical record? Select all that apply
- When the client is repositioned and in which position the client is placed
- Any change in skin integrity
- Number of staff members participating in repositioning of clients
- The body mechanisms used by the staff when repositioning a client
- Rationale for frequent repositioning
1, 2, and 3
