Question 1

While the nurse is attempting to transfer a patient to a standing position, the patient cannot get off the bed.Which is the initial intervention for the nurse to implement?

Accepted Answer

The initial intervention should be to ensure the patient's safety by returning them to a safe position on the bed to prevent any risk of falling or injury.

Question 2

The nurse is preparing to place a patient in the Sim's position.What action should the nurse take during the positioning?

Accepted Answer

In the Sim's position, the patient lies on their side with the lower arm behind the body and the upper arm flexed. A pillow is placed under the flexed upper arm for support and comfort.

Question 3

A 225-pound (102-kg) patient is unconscious and needs to be transferred from the bed to the stretcher.Which action is most critical for the nurse to initiate before moving the patient?

Accepted Answer

It is critical to ensure the safety of both the patient and the staff by using a friction-reducing device and having enough staff members to assist with the transfer, especially given the patient's weight.

Question 4

A patient's physical mobility is impaired because of paralysis of both lower extremities.Which is the best method for the nurse to use to place the patient in semi-Fowler's position?

Accepted Answer

Using a drawsheet to pull the patient to the head of the bed and then raising the head of the bed is the best method. It minimizes the risk of injury to both the patient and the nurse and ensures proper alignment and support for the patient.

Question 5

A nursing student is preparing to ambulate a patient using a transfer belt.Which action by the student requires intervention from the faculty member?

Accepted Answer

Placing the belt under the patient's arms is incorrect and unsafe. The belt should be placed around the patient's waist to provide proper support and prevent injury.

Question 6

The nurse wants to transfer a patient from the bed to the chair by using a mechanical lift.The patient has difficulty following directions, and the nurse cannot find help.Which is the most important action for the nurse to implement?

Accepted Answer

The most important action is to delay the transfer until help is found, as using a mechanical lift requires at least two people to ensure the safety of both the patient and the nurse, especially when the patient has difficulty following directions.

Question 7

A patient who is weak but motivated after surgery is going to ambulate for the first time.Which nursing intervention is most likely to facilitate patient safety?

Accepted Answer

Assessing the patient for potential causes of weakness or dizziness and assisting them in changing positions slowly helps prevent falls and ensures patient safety during ambulation.

Question 8

After 3 hours in the supine position, an older patient reports being stiff and too uncomfortable to move.Which intervention is most appropriate?

Accepted Answer

Assessing the patient's need for pain medication before repositioning is important to manage discomfort and facilitate movement, ensuring the patient can be repositioned safely and comfortably.

Question 9

The patient with a hemiparesis is very hesitant to transfer from the bed to the chair.Which action does the nurse take first to accomplish the transfer?

Accepted Answer

Understanding the patient's usual method of transfer can help the nurse tailor the approach to the patient's needs and preferences, ensuring a safer and more comfortable transfer.

Question 10

The nurse is teaching a patient's family how to maintain personal safety and prevent injury when lifting or moving the patient.Which concept does the nurse include in the instructions?

Accepted Answer

Keeping the patient close to the mover reduces strain on the back and helps maintain balance, preventing injury.

Question 11

The patient's nurse is directing staff who are moving a patient onto a stretcher with a slide board.Two nurses are positioned on the side of the stretcher.Where is the third nurse positioned?

Accepted Answer

The third nurse should be positioned on the side of the bed without the stretcher to help guide and support the patient onto the slide board and ensure a smooth transfer.

Question 12

The patient will be transferred to the chair an hour after receiving pain medication for the first time.Which activity is most important for the nurse delegate to nursing assistive personnel (NAP)?

Accepted Answer

Positioning the gait belt around the patient is crucial for ensuring safety during the transfer from bed to chair, which is a task that can be delegated to nursing assistive personnel.

Question 13

The nurse transfers the patient from the bed to the chair using a mechanical lift.Which should the nurse do before leaving the patient's room to ensure patient safety?

Accepted Answer

Ensuring the nurse call system is within the patient's reach allows the patient to call for assistance if needed, ensuring their safety after the transfer.

Question 14

The nurse and an assistant are moving a dependent patient from the supine to the lateral position.Which should the nurse implement to begin repositioning?

Accepted Answer

To reposition a patient from supine to lateral, the nurse should first move the patient away from the center toward a side of the bed to create space for turning.

Question 15

The nurse is teaching other caregivers about using a mechanical lift.What does the nurse include in the instructions focusing on patient safety?

Accepted Answer

The base of the lift should be placed under the side of the bed to provide a stable base for the lift.

Question 16

The nurse is caring for a patient after a motor vehicle crash and instructs the patient to avoid turning independently because the spine is unstable.What explanation of bed mobility does the nurse provide the patient?

Accepted Answer

Logrolling is a technique used to move a patient with a spinal injury to maintain spinal alignment and prevent further injury.

Question 17

While transferring a patient who has been bedridden for several weeks, the nurse notes that the patient becomes fatigued rapidly.What assessment data does the nurse expect to find to validate the patient's changing status?

Accepted Answer

Increased pulse and increased respirations are common signs of fatigue and exertion, especially in a patient who has been bedridden and may have decreased cardiovascular and respiratory endurance.

Question 18

The nurse assists the patient with transferring from bed to chair by using a transfer belt.Which is the first instruction that the nurse gives to the patient after properly positioning him or her?

Accepted Answer

The nurse should instruct the patient to "Rock to help stand while pushing up with your hands" as it encourages the patient to use their own strength and momentum to assist in the transfer, promoting safety and independence.

Question 19

The charge nurse is orienting a new NAP about the steps of proper body mechanics.Which of the follow statements are correct steps? (Select all that apply.)

Accepted Answer

The answer of The charge nurse is orienting a new...

Question 20

The nurse teaches the caregiver to maintain the patient's safety when transferring to a chair.Which teaching does the nurse include to address the weakness of the patient's right side?

Accepted Answer

The chair should be placed on the patient's stronger side, which is the left side in this case, to facilitate a safer transfer.

Quiz 17: Safe Patient Handling