Deck 7: Turning and Positioning

Question 1

What are five goals of proper patient positioning?
a. __________________________
b. __________________________
c. __________________________
d. __________________________
e. __________________________

Answer 1

answers
a. Ensure patient comfort.
b. Maintain integumentary integrity by preventing development of ulceration resulting from pressure or friction.
c. Maintain musculoskeletal integrity by preventing loss of range of motion (ROM.)
d. Maintain neuromuscular integrity by preventing peripheral nerve impingement resulting from pressure.
e. Maintain cardiovascular/pulmonary integrity by using changes in position to assist secretion elimination, breathing patterns, and vascular flow.
f. Provide patient access to the environment.
g. Provide proper positioning for specific interventions.

Question 2

What is the typical maximum time a patient should remain in one position?

A) 30 minutes
B) 1 hour
C) 2 hours
D) 3 hours

Answer 2

2 hours

Question 3

Positioning on an area that is red should:

A) be for less than 1 hour.
B) be for at least 2 hours to toughen the area.
C) not be done until redness is gone.

Answer 3

not be done until redness is gone.

Question 4

Maintaining a patient in one position for a prolonged period may result in:

A) development of a Stage 3 ulcer.
B) loss of bone density.
C) increased vascularity.
D) decreased sensation.

Question 5

Orthostatic hypotension results from:

A) prolonged horizontal positioning.
B) pressure over major blood vessels.
C) prolonged sitting.
D) pooling of blood in the upper extremities in standing.

Question 6

What are two activities a PT/PTA must do prior to moving a patient?
a. __________________________
b. __________________________

Question 7

What is correct pillow placement for proper positioning of a patient in supine?
a. __________________________________________________________
b. __________________________________________________________
c. __________________________________________________________

Question 8

What is correct placement of pillows for proper positioning of a patient in prone?
a. __________________________________________________________
b. __________________________________________________________
c. __________________________________________________________

Question 9

In the sidelying position, the uppermost lower extremity is placed:

A) directly on top of the lowermost lower extremity.
B) on pillows to prevent adduction and pressure on the lowermost lower extremity.
C) on pillows in abduction to decrease pressure on the lowermost lower extremity.
D) none of the above.

Question 10

To move the patient to one side of the bed prior to turning from supine to prone, FIRST move the:

A) lower extremities.
B) trunk.
C) head and upper trunk.
D) none of the above.

Question 11

When turning a patient from prone to supine, the patient's arm on the side that the patient will turn over is placed:

A) alongside the patient's head.
B) tucked under the patient.
C) placed over the patient's buttocks.
D) none of the above.

Question 12

When positioning a patient in prone, placing the arms alongside the head may result in decreased circulation to the arms.

Question 13

When positioning a patient in sidelying, avoid pressure over the:

A) greater tubercle.
B) greater trochanter.
C) ischial tuberosity.
D) iliium.

Question 14

Pressure points to be concerned about when positioning the patient in supine include:

A) sacrum.
B) heels.
C) scapula.
D) all of the above.

Question 15

PTs/PTAs can assist patients to sitting from supine by:

A) pulling patients to sitting.
B) having patients roll to their side first.
C) having patients place both feet on the bed and bridging.
D) getting behind patients and pushing into a long sitting position.

Question 16

When turning patients from prone to supine, PTs/PTAs start with their hands on the patient's:

A) back.
B) front.

Question 17

When turning patients from supine to prone at the halfway point, PTs/PTAs move their hands from the patient's:

A) back to the front.
B) front to the back.

Question 18

When patients are positioned in prone or supine, their shoulders and pelvis should be aligned parallel.

Question 19

When assisting patients to sitting, PTs/PTAs assure that patients are safe and able to maintain the position before leaving the patient.

Question 20

Patients can relieve pressure on the ischial tuberosities in sitting by:

A) leaning to one side.
B) performing push-ups.
C) leaning forward.
D) all of the above.

Question 21

Pressure relief in sitting should be performed approximately every:

A) 5 minutes.
B) 10 minutes.
C) 15 minutes.
D) 20 minutes.

Question 22

Sensitive areas are relieved by placing towels or pillows:

A) only proximal to the area.
B) only distal to the area.
C) under the area.
D) both proximal and distal to the area.

Question 23

Patients are assisted to participate in turning and positioning procedures by:

A) directions being given prior to beginning procedures.
B) commands during procedures.
C) directions given prior and commands given during procedures.
D) patients never actively participating.

Question 24

Prior to turning a patient in a bed, ensure that:

A) the bed is locked.
B) assistants are available if they will be needed.
C) the space around the bed permits access to the patient.
D) all of the above.

Question 25

When turning patients from prone to supine, PTs/PTAs are positioned on the side to which the patient is being turned. To avoid rubbing the patient's face on the bed, the patient should:

A) look toward the PT/PTA.
B) look away from the PT/PTA.