Question 1

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

Accepted Answer

Using large muscle groups distributes the workload evenly and decreases the risk of muscle strain and injury. Big muscles are also more effective in lifting and can prevent workers' compensation claims.

Question 2

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. )

Accepted Answer

The skin of older adults is more fragile and susceptible to injury.Aging tends to result in the loss of flexibility and joint mobility and older adults sometimes do become fearful with use of hydraulic lifts.Older adults should be supported under the joints when moving in bed.Weakness and hypotension are common signs and symptoms noted in an older adult on bed rest.

Question 3

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

Accepted Answer

Administering medication before ambulation can help to alleviate anticipated pain and discomfort during movement. This can help ensure that the patient is more cooperative and relaxed during the activity. Applying heat or obtaining assistance may also be useful strategies, but they do not directly address the issue of pain management. Being supportive is important, but it alone may not be sufficient to facilitate safe and effective movement.

Question 4

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

Accepted Answer

The lumbar muscle group is the most common site of strain injury for nurses, largely due to the frequent requirement for lifting, transferring, and assisting patients, which puts significant strain on the lower back.

Question 5

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

Accepted Answer

The answer of The most common cause of musculoskeletal disorders...

Question 6

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

Accepted Answer

The purpose of mobility is completing ADLs and maintaining physiologic activities.

Question 7

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

Accepted Answer

Active ROM refers to the patient performing the movement independently, without any assistance from another person or external device.

Question 8

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

Accepted Answer

Bending the knees and hips helps to redistribute the weight of the patient and reduce strain on the nurse's back. This technique should be used as opposed to holding the back straight with locked knees, which puts unnecessary strain on the back. Lowering the height of the bed and getting the patient to the side of the bed can also be helpful in some situations, but it is not the best choice for protecting the nurse's back in all patient lifting and moving scenarios.

Question 9

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?

Accepted Answer

The nurse should include the need for some type of exercise to prevent muscle atrophy and contractures. Immobilized patients are at risk for these complications due to lack of movement, and gentle exercises or range of motion activities should be encouraged to maintain muscle strength and flexibility. Additional calcium or protein may be beneficial for overall health, but they are not specific interventions for preventing muscle atrophy and contractures. A special protective bed may be necessary for some patients, but it is not a preventive measure for these complications.

Question 10

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

Accepted Answer

The semi-Fowler's position is when the head of the bed is elevated at a 30-degree angle. Leaning over the bedside table (A), drawing the knee toward the chest (C), and flexing the arms toward the head (D) are not indications of the correct position.

Question 11

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

Accepted Answer

Using a transfer belt is the best choice to improve safety during a transfer. A transfer belt is a device placed around the patient's waist that the nurse can grasp to provide support and stability during the transfer. This reduces the risk of falls or other accidents during the transfer. Weighing the patient, putting shoes on the patient, and supporting a flaccid arm may be important for other aspects of care, but they do not directly improve safety during a transfer.

Question 12

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

Accepted Answer

Nursing personnel have the highest workers' compensation claim rates due to the physically demanding nature of their job, including lifting and moving patients, which leads to a high incidence of musculoskeletal injuries.

Question 13

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

Accepted Answer

The unlicensed assistive personnel should not pull the patient across bed linens as this can cause shearing and skin breakdown. The other options demonstrate appropriate technique, so the nurse should not intervene.

Question 14

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?

Accepted Answer

Each movement should be repeated five times.

Question 15

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

Accepted Answer

Widening the base of support in the direction of movement will increase stability and reduce the strain on the back. Bringing the feet close together and flexing the knees (option A) is good for lifting objects from the ground, but not for moving heavy objects horizontally. Keeping the back straight and bending at the waist (option B) puts a lot of strain on the lower back and can result in injury. Broadening the base of support and twisting toward the direction of movement (option D) is also dangerous as it can cause back strain and injury.

Question 16

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

Accepted Answer

The joints are moved to the point of resistance or pain.

Question 17

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. )

Accepted Answer

One of the responsibilities of the nurse is to frequently monitor the patient's neurovascular function,or circulation,movement,and sensation (CMS)assessment.The LPN/LVN checks for skin color,temperature,movement,sensation,pulses,capillary refill,and pain.Pupil assessment is part of a neurologic assessment.

Question 18

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

Accepted Answer

When carrying heavy objects, the nurse should place the load close to the body midline as this reduces the strain on the back muscles and minimizes the risk of injury. Placing the load in a low position can still create strain on the back muscles, carrying the load to the side of the body can cause imbalance and increase the risk of injury, and relying on another's assistance may not always be feasible or available.

Question 19

The 125-lb nurse is preparing to lift a heavy object.What is the maximum amount of weight considered safe for the nurse to lift?

Accepted Answer

According to the National Institute for Occupational Safety and Health (NIOSH), the maximum weight that a nurse should lift alone is 50 lbs to reduce the risk of injury. Therefore, the nurse should not lift anything heavier than 50 lbs.

Question 20

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

Accepted Answer

According to the World Health Organization (WHO), adults should engage in at least 150 minutes of moderate-intensity physical activity or at least 75 minutes of vigorous-intensity physical activity throughout the week to prevent negative consequences of immobility. This translates to around 20-30 minutes of physical activity per day, which is equivalent to walking briskly for 2 hours per day. Therefore, the minimum number of hours of daily activity necessary to prevent the negative consequences of immobility is 2 hours.

Quiz 8: Body Mechanics and Patient Mobility