Question 1

The nurse is helping a patient set a goal for ambulating after surgery.Which outcome statement for this patient with generalized postoperative weakness is best?

Accepted Answer

A)   The patient transfers self safely from the bed to the chair 3 times daily.
B)   The nurse will maintain his or her physical mobility after surgery.
C)   The patient will remain safe from falls and postoperative anxiety.
D)   The patient transfers self safely from bed to chair 4 times daily within 2 days.

Question 2

The nurse teaches the caregiver to maintain the patient's safety when transferring to a chair.Which teaching should the nurse include to address the weakness of the patient's right side?

Accepted Answer

A)   Place the chair to the patient's right side after sitting the patient on the edge of the bed.
B)   Place the chair to the patient's left side after sitting the patient on the edge of the bed.
C)   Place the chair wherever the patient wants it after sitting the patient on the edge of the bed.
D)   Place the chair wherever the caregiver wants it after sitting the patient on the edge of the bed.

Question 3

The patient with a hemiparesis is very hesitant to transfer from the bed to the chair with a new nurse's help.Which action should this nurse take first to accomplish the transfer?

Accepted Answer

A)   Explain how the transfer of the patient will be done safely.
B)   Ask questions about how the patient usually transfers.
C)   Document that the patient declined help for the transfer.
D)   State that the healthcare provider ordered a transfer.

Question 4

After 3 hours in the supine position,an older patient tells the nurse that he or she is stiff and too uncomfortable to move.Which is the best nursing intervention to maintain skin integrity?

Accepted Answer

A)   Find an assistant to help move the patient to lateral position now.
B)   Express concern about the discomfort and promise to come back.
C)   Assess the patient's need for pain medication before repositioning.
D)   Explain how important repositioning is for preventing pneumonia.

Question 5

A weak but motivated patient is ambulating for the first time.Which nursing intervention is most likely to facilitate patient participation in ambulation and ensure patient safety?

Accepted Answer

A)   Ask the patient if this weakness has occurred before.
B)   Obtain a full set of vital signs before moving the patient.
C)   Encourage the patient to hold onto you [the nurse] or the handrails in the hall.
D)   Perform a quick assessment, including patient fatigue while talking.

Question 6

A 225-pound patient is unconscious and needs to be transferred from the bed to the stretcher.Which action is most critical for the nurse to initiate before moving the patient?

Accepted Answer

A)   Obtain a friction-reducing device and at least two other staff members.
B)   Instruct a nurse to stand at the head of the patient.
C)   Suspend the intravenous (IV)  lines and Foley catheter from the stretcher.
D)   Wrap the patient in a sheet to prevent injury to the arms and legs.

Question 7

You are getting ready to transfer your patient from the bed to a chair for the first time after surgery.Which of the following are important to assess? (Select all that apply.)

Accepted Answer

A)   Sensory status
B)   Temperature
C)   Upper arm strength
D)   Postural hypotension
E)   Cognitive statusF)  Pain level A,C,D,E,F

Question 8

The nurse is preparing to place a patient in the prone position.What action should the nurse take during the positioning?

Accepted Answer

A)   Place a pillow under both knees.
B)   Put a footboard against both feet.
C)   Insert a pillow under the abdomen.
D)   Straighten the arms at the patient's sides.

Question 9

A patient's physical mobility is impaired because of paralysis of both lower extremities.Which is the best method for the nurse to use to place the patient in semi-Fowler's position?

Accepted Answer

A)   Help the patient push up in bed by bending his or her knees.
B)   Raise the head of the bed to 45 degrees and pull the patient to it.
C)   Roll the patient to one side using pillows to support his or her back.
D)   Pull the patient to the head of the bed (HO
B)   using a drawsheet and then raise the HOB.

Question 10

You are moving a patient onto a stretcher using a slide board.Two nurses are positioned on the side of the stretcher.Where is the third nurse positioned?

Accepted Answer

A)   On the side of the stretcher
B)   At the head of the bed
C)   At the foot of the bed
D)   On the side of the bed without the stretcher D

Question 11

The nurse and an assistant are moving a dependent patient from the supine to the lateral position.Which should the nurse implement to begin repositioning?

Accepted Answer

A)   Support the upper arm and leg with pillows.
B)   Move the patient away from the center toward a side of the bed.
C)   Elevate the patient's head with two or three pillows.
D)   Wedge a pillow under the abdomen and chest.

Question 12

While transferring a patient who has been bedridden for several weeks,the nurse notes that the patient becomes fatigued rapidly.What assessment data does the nurse expect to find to validate the patient's changing status?

Accepted Answer

A)   Increased pulse and increased respirations
B)   Decreased pulse and increased respirations
C)   Increased pulse and decreased respirations
D)   Decreased pulse and decreased respirations A

Question 13

You are transferring a patient and he or she sustains an injury during the transfer.What steps must you take? (Select all that apply.)

Accepted Answer

A)   Stay with the patient.
B)   Notify the healthcare provider.
C)   Complete an occurrence report per agency policy.
D)   Evaluate the incident.
E)   Provide supportive care to the patient.F)  None of the above

Question 14

Which of the following patients are at higher risk of complications from improper positioning? (Select all that apply.)

Accepted Answer

A)   The patient who is post hip fracture who has osteoarthritis
B)   The patient who has COPD
C)   The patient who is a paraplegic
D)   The patient who suffered a stroke
E)   The patient with Alzheimer's

Question 15

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 cannot find help.Which is the most important action for the nurse to implement?

Accepted Answer

A)   Assure the patient that the lift is safe.
B)   Use two safety chains on a canvas sling.
C)   Delay the transfer until help is found.
D)   Double-check the wheel locks on the lift.

Question 16

1. Workers in ________ and ________ occupations suffer the most lost-time cases of general musculoskeletal pain and back pain.

Accepted Answer

nursing,su...

Question 17

The nurse transfers the patient from the bed to the chair using a mechanical lift.Which should the nurse do before leaving the patient's room to ensure patient safety?

Accepted Answer

A)   Remove the sling from under the patient.
B)   Document patient response to the transfer.
C)   Secure the call bell within the patient's reach.
D)   Return the base of the lift to its original position.

Question 18

The nurse is teaching other caregivers about using a mechanical lift.What should the nurse include in the instructions focusing on patient safety?

Accepted Answer

A)   Place the base of the lift under the side of the bed.
B)   Use extra-long chains to support the patient's torso.
C)   Ask the patient to hold the head up while in the sling.
D)   Instruct the patient to hold the chains during the transfer.

Question 19

You are orienting a new NAP about the steps of proper body mechanics.Which of the follow statements are correct steps? (Select all that apply.)

Accepted Answer

A)   Avoid twisting.
B)   Bend at the knees.
C)   Tighten stomach muscles as you lift.
D)   Straighten the legs.
E)   Keep the weight close to the body.

Question 20

The nurse successfully transfers a patient from the bed to the chair and back.What information is most vital for the nurse to include in the progress notes?

Accepted Answer

A)   The visitors involved in assisting the patient to transfer
B)   Home care instructions for the patient about transferring
C)   The patient's blood pressure before and after each transfer
D)   A description of the patient's response to each transfer

Exam 15: Safe Patient Handling, transfer, and Positioning

The nurse is helping a patient set a goal for ambulating after surgery.Which outcome statement for this patient with generalized postoperative weakness is best?

Correct AnswerverifiedShow Answer

The nurse teaches the caregiver to maintain the patient's safety when transferring to a chair.Which teaching should the nurse include to address the weakness of the patient's right side?

Correct AnswerverifiedShow Answer

The patient with a hemiparesis is very hesitant to transfer from the bed to the chair with a new nurse's help.Which action should this nurse take first to accomplish the transfer?

Correct AnswerverifiedShow Answer

After 3 hours in the supine position,an older patient tells the nurse that he or she is stiff and too uncomfortable to move.Which is the best nursing intervention to maintain skin integrity?

Correct AnswerverifiedShow Answer

A weak but motivated patient is ambulating for the first time.Which nursing intervention is most likely to facilitate patient participation in ambulation and ensure patient safety?

Correct AnswerverifiedShow Answer

A 225-pound patient is unconscious and needs to be transferred from the bed to the stretcher.Which action is most critical for the nurse to initiate before moving the patient?

Correct AnswerverifiedShow Answer

You are getting ready to transfer your patient from the bed to a chair for the first time after surgery.Which of the following are important to assess? (Select all that apply.)

Correct AnswerverifiedA,C,D,E,F

The nurse is preparing to place a patient in the prone position.What action should the nurse take during the positioning?

Correct AnswerverifiedShow Answer

A patient's physical mobility is impaired because of paralysis of both lower extremities.Which is the best method for the nurse to use to place the patient in semi-Fowler's position?

Correct AnswerverifiedShow Answer

You are moving a patient onto a stretcher using a slide board.Two nurses are positioned on the side of the stretcher.Where is the third nurse positioned?

Correct AnswerverifiedD

The nurse and an assistant are moving a dependent patient from the supine to the lateral position.Which should the nurse implement to begin repositioning?

Correct AnswerverifiedShow Answer

While transferring a patient who has been bedridden for several weeks,the nurse notes that the patient becomes fatigued rapidly.What assessment data does the nurse expect to find to validate the patient's changing status?

Correct AnswerverifiedA

You are transferring a patient and he or she sustains an injury during the transfer.What steps must you take? (Select all that apply.)

Correct AnswerverifiedShow Answer

Which of the following patients are at higher risk of complications from improper positioning? (Select all that apply.)

Correct AnswerverifiedShow Answer

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 cannot find help.Which is the most important action for the nurse to implement?

Correct AnswerverifiedShow Answer

1. Workers in ________ and ________ occupations suffer the most lost-time cases of general musculoskeletal pain and back pain.

Correct Answerverifiednursing,su...View AnswerShow Answer

The nurse transfers the patient from the bed to the chair using a mechanical lift.Which should the nurse do before leaving the patient's room to ensure patient safety?

Correct AnswerverifiedShow Answer

The nurse is teaching other caregivers about using a mechanical lift.What should the nurse include in the instructions focusing on patient safety?

Correct AnswerverifiedShow Answer

You are orienting a new NAP about the steps of proper body mechanics.Which of the follow statements are correct steps? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse successfully transfers a patient from the bed to the chair and back.What information is most vital for the nurse to include in the progress notes?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A,C,D,E,F

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
D

Correct Answer
verified

Correct Answer
verified
A

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

1. Workers in and occupations suffer the most lost-time cases of general musculoskeletal pain and back pain.

Correct Answer
verified
nursing,su...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified