christensen chap 15

Question 1

.A patient who is unable to move about freely and needs assistance from staff and a mechanical device would require _____ ROM exercises

Active
Passive
Active assisted
Passive assisted

Answer 1

Passive ROM

Question 2

2.The nurse is helping with ROM exercises. The patient's leg is moved back toward the medial position or beyond. This is called:
External rotation
internal rotation
adduction
abduction

Answer 2

Adduction

Question 3

3.Select all the following techniques that are an appropriate use of body mechanics.

flex knees slightly
stand with feet together
keep head erect and chest up
push pull or slide heavy objects

Answer 3

flex knees slightly
keep head erect and chest up
push pull or slide heavy objects

Question 4

4.You have an immobile patient on the unit. The staff should change the position of this immobile patient at least:

Answer 4

2hrs

Question 5

5.A patient has been on bed rest for a few days and is getting up for the first time. What is the best nursing intervention for this patient?
Asses the patient’s respiratory function.
Obtain the persons temperature
assist the patient to a sitting position on the side of the bed
ask if he or she feels dizzy or lightheaded

Answer 5

assist the patient to a sitting position on the side of the bed

Question 6

6.A patient has returned to the surgical floor following hip replacement surgery. What assistive device is used for proper body alignment?
wedge pillow 
trochanter roll
pillow 
sandbags

Answer 6

wedge pillow

Question 7

7.A patient with a diagnosis of CVA has been admitted to your unit. This patient has right-sided paralysis and limited mobility. To prevent the complication of external hip rotation, you should use a(n):
trapeze
air mattress
trochanter roll
foot board

Answer 7

trochanter roll

Question 8

8.A common complication of patients with limited mobility is a thrombus or emboli. Which nursing intervention assists in the prevention of a thrombus?

Assess the circulation of lower extremities
Ted stockings
Assess for a positive Homans’ sign.
Elevate lower extremities off the bed.

Answer 8

Ted stockings

Question 9

9.A patient ambulating in the hallway complains of severe dizziness and begins to fall. What should the nurse do first?
support the patient and get him back to his room quickly
call for assistance
lean the patient against the wall to see if the episode passes
gently lower the patient to the ground

Answer 9

gently lower the patient to the ground

Question 10

10.When lifting and moving a patient up in bed, a lift sheet may be used. The best placement of a lift sheet under the patient is between the:
upper back and thighs
head and buttocks
waist and knees
waist and ankles

Answer 10

upper back and thighs