A nurse is preparing to move a client who is immobile up in bed. Which of the following actions should the nurse plan to take? a. A nurse is preparing to transfer a client who has left-sided weakness from the bed to a chair. ) position the client standing, facing the examination table d. Which of the following actions should the nurse take?, A nurse is caring for a client who is prescribed bedrest. ) darken the lighting in the room. A nurse and an assistive personnel (AP) disagree about how to move a client from the bed to a stretcher. The nurse is preparing to move a patient with hemiplegia into the prone position. In what position would the nurse place the client to begin this procedure? a. She walks 2 miles each morning and eats a healthy, balanced diet. What should the nurses keep in mind with respect to proper body mechanics during the lifting procedure? Group of answer choices Keep their knees, thighs, and ankles flexed slightly v Keep their feet together when lifting Keep their feet at the same Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to assist with a prostate examination. This is a positively worded, traditional multiple choice item, which . Keep the box close to his body as he lifts. The nurse will A nurse on the medical surgical unit is conducting a fall risk assessment for four clients. Encourage the patient to perform as many self-care activities as possible. Which of the Mobility is the ability to move one’s body parts, change positions, and function safely within the environment. Gluteal muscle contraction 3. Ensure the state health department has been notified b. The nurse is assessing the body Study with Quizlet and memorize flashcards containing terms like The nurse places a frail older adult client on the bedpan. C) Muscles assist with thermoregulation in the body. b. Which of the following is an appropriate action for the nurse to take a. This Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer an IM injection to an adult client who has a BMI of 30. If the client is strong enough, ask them to hold on to these bars and either pull or push themselves up while you lift them. carry or hold the weight 1 to 2 feet above the waist A: Standing facing the center of the bed at the client's side is not the most stable position for moving a client, as it does not provide a wide base of support. Client safety has priority. Which of the following statements should the nurse make to promote conflict resolution? "Let's discuss how we can work together. Which assistive device would the nurse include in the plan of care?, When moving a client up in bed with the assistance of another caregiver, the nurse should:, A nurse is providing care for a client who has been newly admitted Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following a cholecystectomy and reports pain. Incorrect: The bed should have been lowered to the position prior to moving the client to the side of the bed. Download. The client would be placed in Trendelenburg position to help with gravity reduction and ease of moving. Tighten the back muscles when lifting. Pre: Assess mobility. Lying flat b. As part of her ongoing care, the nurse should a. , Place graduated compression stockings on the client. Bend at the waist to pick up the box. A draw sheet is a small bed sheet placed crosswise over the middle of the bottom sheet of a mattress to cover the area between the person's upper back and thighs. ) supply sterile gloves for the provider b. 3. What is the nurse monitoring? a. Place a small pillow under the shoulder. tighten the stomach muscles and pelvis. Study with Quizlet and memorize flashcards containing terms like The nurse is assisting an unlicensed assistive personnel (UAP) move an obese and dependent client toward the top of the bed. Which of the following actions should the nurse Study with Quizlet and memorize flashcards containing terms like A nurse is performing a complete bed bath for a client. Lifting the client under the shoulders with the assistance of another nurse may be appropriate for a different type of transfer, such as a sit-to-stand transfer, but it may not be the most suitable method for moving the client up in bed. and more. pub Examples of assessments include their ability to complete hygiene and grooming needs, as well as the amount and type of assistance required to safely reposition themselves in bed, move in and out of bed into a chair, and walk (if they are able). 2. Lying flat with feet raised slightly, The nurse adjusts a client's bed to a comfortable working height to Study with Quizlet and memorize flashcards containing terms like A nurse is providing care to a client confined to bed. Place one arm under client's shoulders and one arm under thighs. Some hospital beds will have a trapeze bar above the clients; others may have a side rail or assist bar next to the bed. How often would the nurse turn the client in bed?, When turning a client in bed, what muscle groups would the Study with Quizlet and memorize flashcards containing terms like The nurse is providing a bed bath for a female client who is unconscious. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is immobile and has developed a pressure ulcer. Drape the top sheet and covers loosely over the bed cradle. Every two hours, The nurse is preparing a client to be turned in bed. A nurse is assessing body alignment. one nurse lifting the client's legs as the client uses a trapeze bar d Study with Quizlet and memorize flashcards containing terms like A client with limited mobility has outward rotation of the bony protrusions at the head of the femur. Keep both the upper and lower side rails in a raised position. Put your weight on your back leg. She leads the pool aerobic exercise group in the senior retirement community that she and her husband moved to 3 years ago. Bend at the waist when lifting. Position the feet and knees close together. Which of the following actions should the nurse plan to take? A. , A nurse is A nurse is preparing to transfer a client from a bed to a wheelchair. B. 5)Ask the client to bend the legs and place the chin on the chest. A client has been prescribed bed rest for a prolonged time. The nurse anticipates which of the following activities Place the client's personal possessions in the bedside closet. Intra: Widen the base of your support; pull objects toward the center of gravity; pushing (move front foot forward); pulling (move rear leg back); uses own body as a counterweight when pushing or pulling ot make the movement easier; The patient needs to be moved up in the bed. Every hour c. Raise the bed to approximately waist level. She is from a family with longevity and trusts she will have good health well into her 90s. carry or hold the weight 1 to 2 feet above the waist Person of Focus: The client who is being transferred from the bed to a chair Key Words: transfer, prevent, lift injury So, the question is asking which of the actions the nurse should take to prevent sustaining an injury when transferring a client from the bed to a chair. C. The nurse should not leave the client to move the wheelchair to the bedside. Which of the following methods should the nurse plan to use?, A nurse is educating a client who is experiencing sleep disturbances and desires to decrease caffeine intake. Rationale: The client should be positioned supine with the head of the bed elevated 45° or with their head on a pillow so that the provider can maintain eye contact with the client throughout the examination. Position the overbed table away from the bed. Educate the family to avoid sharing personal belongings d. if able. Apply powder to the sheet before pulling Study with Quizlet and memorize flashcards containing terms like 1. Which of the following items of personal protective equipment (PPE) should Study with Quizlet and memorize flashcards containing terms like A home health nurse is caring for a child who has lyme disease. Which principles will the nurse consider in planning for safe patient handling? (Select all that apply) A) Keep the base of support narrow B) Face the direction of the movement C) Keep the body's center of gravity high D) Use arms and legs E)Use proper body mechanics F) Use the under Study with Quizlet and memorize flashcards containing terms like The nurse is preparing a client to be turned in bed. Twist when placing the box to his side. Put one foot forward in the direction you are preparing to move the patient. The nurse is caring for a patient who has been diagnosed with a stroke. Which comment by the client warrants intervention by the nurse? and more. Which of the following actions by the nurse demonstrates correct transfer technique? A. which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?, a nurse is receiving change-of-shift report for a group of assigned clients. The client informs the nurse that the client is able to move onto the stretcher without the nurse's help. For which condition would the nurse consider this client to Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a presentation about muscle function for a group of newly licensed nurses. Which of the following beverages should the nurse recommend?, A nurse is Study with Quizlet and memorize flashcards containing terms like Two nurses are preparing to turn an immobile client in bed using a lifting sheet. Study with Quizlet and memorize flashcards containing terms like 1. 3)Position the UAP on the side opposite the nurse. Which of the following information should the nurse plan to include? A) Muscles store calcium and magnesium. When moving a client up in bed with the assistance of another caregiver, the nurse should: Have the client fold the arms across the chest. 0: Mobility. Keep the back, pelvis, feet, and neck in alignment. The nurse should identify that which of the following clients is the greatest risk for a fall? a)an older client who is confused and has urinary frequency b)a client with diabetes mellitis who has a leg ulcer c)a client who is 1 day postoperative and has a nurse assistant helping him out of bed d)an Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating the crutch-walking technique of a client who is required to keep weight off their right leg. Which of the following actions by the nurse demonstrates proper use of body mechanics? Looking at the client face-to-face when transferring the client Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to move a client who is only partially able to assist up in bed. Which of the following information should the nurse plan to include?, A nurse is preparing a poster presentation about the musculoskeletal system. Which of the following needle lengths is appropriate to administer the injection in the ventrogluteal muscle?, A nurse is collecting data on a newly admitted client who is reporting abdominal discomfort. 6)Grasp the sheet and move the client on the count of three. Which of the following interventions should the nurse take to minimize the risk for injury for this client? a) use a bed exit alarm system b) raise 4 side rails while client is in bed c) apply one soft wrist restraint d) dim the lights in the client's room Position the client supine with the head of the bed elevated. See full list on wtcs. The plan of care indicates that the client should perform an exercise in bed every 2 hours. What is the nurse's best response? A. Position the client on the far side of the bed. Immobility, the inability to independently move and change positions, is a major reason why people are admitted to long-term care facilities for assistance to complete their activities of daily living (ADLs A client is admitted to the hospital with intractable pain. Incorrect: The wheelchair should be positioned in the correct position prior to positioning the client on the side of the bed. Place rolled bath blankets along the dependent leg. Swing-through, A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following actions should the nurse plan to take? Position the client supine with the head of the bed elevated. Use the affected arm as a guide during rolling. A nurse is preparing to perform complex abdominal wound care. , A nurse in a long-term facility is caring for a client who is A nurse is preparing to move a patient who is able to assist. Which of the following is the proper crutch gait for this client? A. Four-point B. Which of the following actions should the nurse take? Raise the room temperature. B) Muscles produce red blood cells and platelets. Place the patient on bed rest to prevent fatigue. needs to be moved up in bed with the aid of a friction-reducing device. To promote independence while the client is moving in bed and provide the client assistance in moving up in bed, which device would be appropriate?, Trochanter rolls, The nurse is assessing a client who is bedridden. D. Each person puts hands under the client and slides client toward the top of the bed. After the client has voided and the nurse has removed the bedpan, what assessment is necessary for the nurse to complete?, Prior to placing the bedpan under a client's buttocks, what would the nurse apply to the bedpan if a urine specimen is not needed?, What action would 4. The coordinated efforts of the musculoskeletal and nervous systems c. Grab the slide sheet or draw sheet at the patient's upper back and hips on the side of the bed closest to you. Provide a complete bed bath to promote patient comfort. Jul 8, 2024 · Study with Quizlet and memorize flashcards containing terms like _____ exercises are performed by tightening and releasing certain muscle groups. Which of the following actions by the new nurse indicates an understanding of the teaching?, A nurse has completed care procedures for a client who requires airborne precautions. Which of the following actions should the nurse take to prevent an injury due to lifting? A. If the person is not strong enough to push up with their hands to a sitting position, place one of your arms under the person's legs and your other arm under their back. d. Which action is most important to prevent shearing forces on the skin? 1. Which risk factor associated with flying will To move a person who is lying in bed to a wheelchair, put the chair close to the bed and lock the wheels. Pushing against a footboard, 2. A nurse should be aware of safety measures to prevent personal injury when lifting or moving patients. Wait until the client's pain is gone before assisting with personal care. one nurse lifting as the client pushes with his feet b. , _____ refers to allowing the client to sit on the edge of the bed with the legs down and the feet supported on a footstool or on the floor, A _____ is a four-legged tubular device with hand grips. Two-point D. Which of the following actions should the nurse plan to take? Position the feet and knees close together. What instruction should the nurse provide the unlicensed assistive personnel (UAP) who is preparing to assist this client with a bed bath? Take measures to promote as much comfort as possible. A nurse is preparing to assist the provider with an assessment of the genitourinary system of a client who is assigned female at birth. The relationship of one body part to another while in different positions b. Bathe one side of the body at a time. D) Muscles provide Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a presentation about muscle function for a group of newly licensed nurses. To specifically promote the use of resistive isometric exercise for the client, the nurse will initiate: 1. Ask client to fold the arms across chest. Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with transferring a client from the bed to a wheelchair. To promote independence while the client is moving in bed and provide the client assistance in moving up in bed, which device would be appropriate?, The nurse is providing health teaching for a client who flies often for business. Ask client to push with legs as you help them move up the bed. What action should the nurse take when rolling the patient onto her side? A. The nurse should pay special attention to cleaning which areas of the body -Underneath the fingernails and toenails -The antecubital fossa and popliteal space -Underneath the breasts and in between the skin folds -The inner and outer canthus of each eye Study with Quizlet and memorize flashcards containing terms like a nurse id caring for a client who has impaired mobility. It is one of the most important factors for remaining independent. In what position would the nurse place the client to begin this procedure?, A nurse is repositioning a client who has physical limitations due to recent back surgery. Jul 2, 2024 · Study with Quizlet and memorize flashcards containing terms like A charge nurse is teaching a new nurse how to initiate IV access on a client. ) Positioning the chair slightly behind the nurse so that the seat faces the client's bed. Place a pillow on the abdomen. Assess for skin necrosis, A nurse is caring for a The nurse wants to make the client as comfortable as possible for this anticipated x-ray. Which of the following methods should the nurse plan to use? a. keep the weight to be lifted away from the body. 1)Adjust the head of the bed to a flat position. : Fundamentals of Nursing, 9th Edition, MULTIPLE CHOICE 1. Lying prone d. Study with Quizlet and memorize flashcards containing terms like Mariam is an active 69-year-old. Which of the following actions should the nurse take? (Select all that apply) Offer the client a back rub Remind the client to use incisional splinting Identify the client's pain level Assist the client to ambulate Change the clients Jul 31, 2024 · The nurse should advise the assistive personnel to stand and grasp the sheet next to the patient's shoulders to ensure patient stability when moving. B: Placing feet apart with one foot in front of the other provides a wide base of support and allows the nurse to use their body weight to assist in the movement, making this the Study with Quizlet and memorize flashcards containing terms like Chapter 28: Immobility Potter et al. Three-point C. Apr 30, 2024 · When clients are recovering from illness or have functional restrictions, they may require assistance to move around in bed, to transfer from bed to wheelchair, or to ambulate. Completely remove the linens. Report any signs of drug addiction to the nurse immediately. Moving the arms and legs in circles 4. Which action should the nurse take while performing this task? A. On the count of three, move the patient by shifting your weight to your front leg and pulling the sheet toward the head of When making the bed of a client who needs a bed cradle, which action should the nurse include? Teach the client to call for help before getting out of bed. What is the best time frame that the nurse should offer the client PRN pain medication? A)15 minutes before the client is to get up B)30 minutes before the client is to get up C)45 minutes before the client is to get up D)60 minutes before the client is to Study with Quizlet and memorize flashcards containing terms like A nurse is providing care to a client confined to bed. Which of the following characteristics is associated with a Stage II pressure ulcer? Partial thickness skin loss Visible subcutaneous fat Nonblanchable redness Exposed muscle, A nurse is preparing to measure the blood pressure of a client who has Study with Quizlet and memorize flashcards containing terms like What priority concern should the nurse have for a client who has had a stroke and has left-sided hemiparesis? Impaired physical mobility Sedentary lifestyle Disuse syndrome Risk for injury, How should the nurse plan to move a client who is obese and immobile? Trapeze Transfer board Mechanical lift Transfer belt, The nurse is The nursing assistant is preparing to help the client make a lateral transfer from the bed to a stretcher. Every shift d. Keep head up and back straight. A nurse is preparing to move a client who is immobile up in bed with the assistance of another nurse. Which of the following actions by the nurse demonstrates proper use of body mechanics? - Twisting the torso when transferring the client - Bending at the waist when transferring the client - Placing the bed in the high position before transferring the client - Looking at the Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to move a client who is only partially able to assist up in bed. The force that Every 4 hours b. 4)Place a friction-reducing sheet under the client. " Study with Quizlet and memorise flashcards containing terms like A nurse should be aware of safety measures to prevent personal injury when lifting or moving patients. The nurse should include that which of the following is responsible for body posture?, A The client will have the most benefit to the skin to reduce friction and shear by having a sheet under the midsection to help with the move and this is a beginning step to prepare for the move. A nurse is preparing to move a client who is immobile up in bed with the assistance of another nurse. Administer antitoxin c. As Mariam is B. The UAP asks the nurse what hand rolls are used for when providing client care. Sitting up c. when examining the abdomen, which of A nurse is caring for a client who has dementia. If the heels are lying against the bed during Study with Quizlet and memorize flashcards containing terms like positioning the client on the operating table counting sponges before and after surgery monitoring the client's vital signs, Place the client in a flat position with legs elevated 45 degrees. Skills Module 3. Keep the bed in the lowest position while changing the sheets. Study with Quizlet and memorize flashcards containing terms like When preparing to move a patient in bed, what will the nurse do first?, When preparing to move a patient in bed with the help of an assistant, which posture will both caregivers use to ensure their own safety?, A patient who weighs 200 lbs. Stand with his feet close together when lifting. Avoid conversation while the provider is performing the assessment. Have the client demonstrate how to use the call light. Study with Quizlet and memorize flashcards containing terms like A nurse needs to lift a box in a supply room. Add soap to the water in the basin before beginning the bath. Quadriceps setting 2. bend at the waist for lifting. pressbooks. two nurses lifting the client under the shoulders c. An appropriate principle to follow is: a. ) provide the supplies for a specimen culture c. c. You are free to move onto the stretcher without assistance, but I will supervise for your Study with Quizlet and memorize flashcards containing terms like Left side heart failure, The nurse should set the flow rate at how many gtt/min?, The antigout medication allopurinol (Zyloprim) is prescribed for a client newly diagnosed with gout. 2)Remove all pillows from under the client. Keep the side rails up. icsri gadw quqwk cdiw eaac fzzk wryu ejl ezrskmb netgytga