Quiz 2

Nurse Melinda is caring for an elderly bedridden adult. To prevent pressure ulcers, which intervention should the nurse include in the plan of care

• Exercise the upper and lower extremities to promote circulation

• Change the position of the patient every two hours

• Slide the client, rather than lifting when turning. 

• None of the above

1 The term used to describe the efficient, coordinated, and safe use of the body to move objects and carry out the ADLs is known as:

• Logrolling

• Turning side to side

• Body mechanics

• Orthostatic hypotension

All of the following are principles of body mechanics EXCEPT

• Do not spend the spine when lifting an object

• It is better to push the patient away from you rather than pull

• It is better to pull the patient toward you than push

• The base of support or the feet should be wide apart for better balance

1.     This method is frequently applied to clients who have spinal injuries in order to clean, check for injuries, remove debris, and examine lenins.

• Log rolling

• Pivoting

• Body mechanics

• Dorsal recumbent

1.     In the planning phase of the client positioning the nurse plan or determine the following EXCEPT

• Review the client records to determine if previous nurses have recorded information about the client’s ability to  move

• Ensure that the client understands instruction, and provide an interpreter as needed

• Determine the number of personnel and type of equipment needed to safely perform the positional change to prevent injury to staff and patient

• None of the above

In the logrolling method, the minimum personnel assistance is needed by the nurse to perform this task, with the patient weight of 60 kg.  

• 3 person

• 2 person

• 5 person

• none of the above

The nurse is required to use a friction-reducing slide sheet during transferring or moving up in bed if the patient weight is?

• Not more than 91 kg

• 91 kg to 136 kg

• More than 136 kg.

• None of the above

The patient needs to have at least 5 minutes of rest in between changing of  position (e.g supine to sitting and dangling) to prevent this occurrence

• Orthopneic breathing

• Orthostatic hypotension

• Elevate pulse rate

• None of the above

In the preparation phase of changing position from supine to lateral the nurse determine the following EXCEPT

• Review any medication that decreases the level of consciousness

• Any tubing such as NGT, IV lines or any apparatus attached to the patient

• How much personnel assistance is required to accomplish the task

• None of the above

In the termination phase of log rolling, the nurse needs to document the following EXCEPT

• Response of the patient after log rolling such as dizziness, restless

• if there is a sign of bed sore at the bony prominent area

• asked the client to signed the informed consent

• none of the above