Deck 8: Body Mechanics and Patient Mobility

Question 1

The nurse is performing passive range-of-motion exercises on a patient following a traumatic injury. What is the number of times the nurse should move each joint when performing passive range-of-motion (ROM) exercises?

A) Three
B) Four
C) Five
D) Six

Answer 1

Five

Question 2

The LPN/LVN assists a patient into the semi-Fowler position per physician order. What would indicate that this patient is in the correct position?

A) Patient is leaning over the bedside table
B) Head of bed is at a 30-degree angle
C) Knee is drawn toward the chest
D) Arms are flexed toward the head

Answer 2

Head of bed is at a 30-degree angle

Question 3

What implementation might the nurse use to improve safety during a transfer?

A) Weighing the patient first
B) Using a transfer belt
C) Putting shoes on the patient
D) Supporting a flaccid arm

Answer 3

Using a transfer belt

Question 4

What is the site of the most common strain injury acquired by the nurse when working?

A) Trapezius muscle group
B) Thoracic muscle group
C) Lumbar muscle group
D) Thigh muscle group

Question 5

What is the term for range of motion (ROM) when it is performed by the patient?

A) Assisted
B) Passive
C) Active
D) Coordinated

Question 6

What profession has the highest workers' compensation claim rates of any occupation or industry?

A) Firefighters
B) Truck drivers
C) Law enforcement
D) Nursing personnel

Question 7

What should the nurse do to reduce the effort of moving a heavy object?

A) Bring the feet close together and flex the knees
B) Keep the back straight and bend at the waist
C) Widen the base of support in the direction of movement
D) Broaden the base of support and twist toward the direction of movement

Question 8

How should the nurse assist the patient with moving when pain is anticipated?

A) Be supportive
B) Apply heat before moving them
C) Administer medication before ambulation
D) Obtain assistance if the patient is heavy

Question 9

The nurse is performing passive range of motion (ROM) for the patient. How will the nurse move the joint through ROM?

A) The fullest extent
B) Place the joint in normal position
C) The point of pain
D) Relax the patient

Question 10

Where should the nurse place the load when carrying heavy objects?

A) In a low position
B) To the side of the body
C) Close to the body midline
D) With another's assistance

Question 11

The nurse is educating a patient on ways to regain the ability to perform ADLs and maintain normal physiological activities. What will the nurse relay as a requirement?

A) Strength
B) Wellness
C) Alertness
D) Mobility

Question 12

The most common cause of musculoskeletal disorders in nurses involves a movement that requires the nurse to ________ and _________ at the same time.

Question 13

A nurse instructs a nursing assistant about moving older adult patients in bed. When should the nurse intervene when observing the nursing assistant perform a return demonstration?

A) The nursing assistant is using simple language.
B) The nursing assistant is avoiding jerky movements.
C) The nursing assistant is avoiding sudden movements.
D) The nursing assistant is pulling the patient across bed linens.

Question 14

The nurse instructs a nursing assistant to use large muscle groups when lifting. What is the rationale for this instruction?

A) Workers' compensation claims will be prevented
B) Big muscles work more effectively
C) It guarantees no muscle strain
D) It distributes workload more evenly

Question 15

The nurse receives a patient from the recovery room following total hip replacement surgery. What will the nurse include when assessing neurovascular status on this patient? (Select all that apply.)

A) Pupils
B) Pain
C) Sensation
D) Color
E) Skin temperature

Question 16

The 125-pound nurse assesses the weight of a patient. What weight is the heaviest the nurse may safely lift by herself?

A) 158.75 lb
B) 168.75 lb
C) 178.75 lb
D) 188.75 lb

Question 17

What is considered to be the minimum number of hours of daily activity necessary to prevent the negative consequences of immobility?

A) 2 hours
B) 4 hours
C) 6 hours
D) 8 hours

Question 18

What should the nurse do to protect his or her back when lifting or moving a patient?

A) Lowering the height of the bed
B) Holding the back straight with locked knees
C) Bending knees and hips
D) Getting the patient to the side of the bed

Question 19

A newly hired group of graduate practical/vocational nurses are attending orientation at a long-term care facility. What information will be included regarding considerations of mobility and the older adult? (Select all that apply.)

A) The skin of older adults is more fragile and susceptible to injury.
B) Always support older adults under the soft tissue when moving them in bed.
C) Weakness and hypertension are common signs and symptoms noted in an older adult on bed rest.
D) Aging tends to result in loss of flexibility and joint mobility.
E) Older adults sometimes become fearful when hydraulic lifts are used for transfers.

Question 20

The nurse counsels the immobilized patient in regard to prevention of muscle atrophy and contractures. What will the nurse be sure to include when counseling this patient?

A) The need for additional calcium
B) The need for additional protein
C) The need for some type of exercise
D) The need for a special protective bed

Question 21

When a fall occurs, the nurse should document the incident and initiate a(n) ___________ report.

Question 22

Place the nursing activities in priority order for the preparation of a patient to ambulate. Put a comma and space between each answer choice (A, B, C, D, etc.).

A) Dangle the patient at the side of the bed
B) Apply a gait belt
C) Assist the patient to stand
D) Inform the patient of activity
E) Roll up the head of the bed

Question 23

_________________________________machines flex and extend joints to mobilize them passively without the strain of active exercises.

Question 24

To maintain a wide base of support, the nurse should stand with the feet separated by the distance of _______ times the length of the nurse's shoe.

Question 25

The nurse points to the X in the illustration below and describes this point as the ________ of _________.