Question 1

When moving a patient from a cart to the radiographic table,it would be appropriate to
A)ask the patient how much he or she can help with the transfer.
B)wrap the patient up in a sheet and roll him or her over completely.
C)allow the patient to safely help with the transfer as much as he or she is able.
D)do both a and c.

Accepted Answer

The patient's physical and cognitive abilities determine the amount of assistance required in each transfer.Some patients can perform the movement tasks independently or with verbal directions from the health professional.Other patients need manual assistance or the use of special equipment,such as lifts or transfer devices.To promote safety for patients and staff,health professionals involved with patient handling and movement must decide on the appropriate type of transfer.

Question 2

The purpose of a patient transfer is to
A)make arrangements for the patient to be moved to another nursing unit.
B)safely move a patient from one area to another.
C)provide for the patient's hospital bill to be deducted from his or her banking institution.
D)make delivery arrangements for the patient's personal belongings.

Accepted Answer

The purpose of a transfer is to safely get a patient from one place to another.The patient's physical and cognitive abilities determine the amount of assistance required in each transfer.

Question 3

All of the following are true of good lifting mechanics EXCEPT
A)do most of the lifting with your legs and keep your back stationary.
B)extend your reach beyond the center of gravity to broaden your arm coverage.
C)stand with your feet far apart to broaden your base of support.
D)ensure your center of gravity is over your base of support.

Accepted Answer

When lifting a patient,the technologist should stand with feet apart to increase the base of support.The patient's center of gravity should be held close to the clinician's center of gravity.When lifting patients,keep the back stationary and let the legs do all of the lifting and avoid any twisting.

Question 4

When lifting patients,it is important to
A)lift with your back and save your leg strength.
B)twist at the waist to improve your center of gravity.
C)avoid using a transfer belt to prevent abdominal cramping.
D)keep your back stationary and lift with your legs.

Accepted Answer

When lifting a patient,the technologist should stand with his or her feet apart to increase the base of support.When lifting patients,the technologist keep the back stationary and let the legs do all of the lifting and avoid any twisting.

Question 5

A sudden drop in a patient's blood pressure caused by standing or sitting upright is called
A)hypertension.
B)anemia.
C)orthostatic hypotension.
D)postural emesis.

Accepted Answer

A slight drop in blood pressure occurs normally when any person rises quickly from a recumbent to an upright position.This condition,known as orthostatic hypotension,becomes increasingly serious when patients have been in bed for long periods and have a debilitated status.Symptoms of orthostatic hypotension include dizziness,fainting,blurred vision,and slurred speech.

Question 6

Which of the following statements is TRUE?
A)When lifting someone or something,stand as close as possible to whatever you are lifting.
B)Keep your feet very wide apart and your back arched when lifting.
C)When working with cardiac patients,it is safe to let them help you until they become exhausted.
D)When lifting a stack of heavy grid cassettes from the floor to a counter,it is advisable to use your arm muscles because they are stronger than those of the thigh.

Accepted Answer

Moving heavy objects is relatively easy and safe if the object is held close to the mover's center of gravity.Stability can be achieved when a body's center of gravity is over its base of support.

Question 7

When transferring a patient from a wheelchair to a radiographic table,
A)position the wheelchair at a 90-degree angle to the table.
B)allow the patient to help with the transfer if it is safe and he or she is capable of doing so.
C)do not let the patient do any weight-bearing movements.
D)break the transfer into a series of simultaneous movements and commands.

Accepted Answer

Some patients have the ability to transfer from a wheelchair to a table on their own.Position the wheelchair at a 45-degree angle to the table.Talk to the patient before he or she moves to determine how much,if any,assistance is required.Divide the transfer into single-step components and talk the patient through each step.

Question 8

Mobility muscles differ from stability muscles in that
A)stability muscles are located in the knees and ankles.
B)mobility muscles are located in the arms and legs.
C)stability muscles are involved in digestion and body homeostasis.
D)mobility muscles provide postural support.

Accepted Answer

Mobility muscles are found in the limbs.Typically,these muscles have long white tendons and cross two or more joints.Examples include the biceps muscles that flex the elbows and the hamstring muscles that flex the knees.Stability muscles are found in the torso.Typically,stability muscles are large expanses of red muscle belly and provide postural support.

Question 9

If a patient cannot assist with a cart-to-table transfer,
A)a draw sheet or transfer assist device should be used.
B)ask one other colleague to help you do the lifting.
C)disregard the transfer and do a portable examination with the patient on the cart.
D)none of the above are appropriate.

Accepted Answer

If the patient can assist with the transfer,then all that may be required is stabilization of the cart and support for the involved body part.If the patient cannot assist,then a moving device or draw sheet should be used.Three people usually perform a cart-to-table transfer.

Question 10

After successfully completing a safe hydraulic lift of a large patient,the imaging professional should
A)remove the transfer sling and send it to laundry for cleaning.
B)keep the patient in the hydraulic lift and return him or her to the floor.
C)return the patient in a wheelchair with the transfer sling under the patient.
D)return the patient to the floor on a cart with the sling draped alongside the cart.

Accepted Answer

After the patient has achieved a safe,stable position,the lift can be removed.If possible,leave the sling under the patient in anticipation of the return transfer.

Question 11

As you raise a cardiac patient from a supine position on the radiographic table,
A)you must look for signs of orthostatic hypotension.
B)continually communicate with the patient to check his or her status.
C)raise the patient slowly and steadily.
D)do all of the above.

Accepted Answer

Technologists should be aware of orthostatic hypotension with patients.This condition becomes increasingly serious when patients have been in bed for long periods and have a debilitated status,particularly with cardiac patients.Communicate with these patients continually during the transfer,ask for feedback,and be on the alert for signs of orthostatic hypotension.Avoid quick and dramatic changes in the patient's body position.

Question 12

When performing a two-person lift of a patient from a wheelchair,it is important to
A)ask the patient to put his or her arms up over his or her head.
B)lift the patient with his or her knees bent.
C)bend over from the back and lift the patient's legs with your partner.
D)lift the patient as a unit,with his or her arms crossed and legs straight.

Accepted Answer

Begin with the wheelchair: lock the wheelchair wheels,remove the armrests,and swing away or remove the leg rests.Ask the patient to cross his or her arms over the chest and straighten his or her legs.On command,the patient is lifted to clear the wheelchair and is moved as a unit to the desired place.

Question 13

As you enter a patient's room to perform a portable examination,you notice the patient sleeping on her side with one leg over the other with the knees bent.This patient is in the _____ position.
A)Fowler
B)supine
C)Sims
D)None of the above are correct.

Accepted Answer

The patient is in the Sims' position when she is on her side with one leg over the other,with her knees bent.The proper terms for the most common positions are given in Figure 13-12.

Question 14

When moving a patient to or from a stretcher,
A)have the patient hold the stretcher from moving.
B)lock the stretcher securely against the examination table.
C)prop a wheelchair against the end of the cart.
D)protect the stretcher with woolen blankets.

Accepted Answer

To move a patient from a cart onto a radiographic table,position the cart alongside the table on the patient's strong or less affected side.The cart must be wheeled as close to the table as possible and then secured.

Question 15

According to the U.S.Department of Labor,one of the most common work-related injuries resulting in lost work time and disability is
A)carpal tunnel syndrome.
B)torn rotator cuff injury.
C)back injury.
D)torn knee meniscus.

Accepted Answer

The U.S.Department of Labor cites back problems as one of the leading causes of disability for people in their working years and estimates involvement of more than 600,000 employees each year with a cost estimated to be about $50 billion.

Question 16

When transferring patients for medical imaging procedures,communication is an essential component of a safe and efficient transfer.Which of the following is not a recommended communication strategy to achieve a safe transfer?
A)Call the nursing floor to learn of the patient's mobility.
B)During the transfer,try to stay quiet so as not to alarm the patient.
C)Ask the patient how much he or she can assist with the movement.
D)Ask the patient if he or she has been moved recently and how the experience went.

Accepted Answer

Patients sometimes believe that they are capable of transferring themselves when they are actually incapable.Before executing the transfer,check the patient's chart and verify whether he or she has a restricted weight-bearing status.Offer assistance as required.Allow ample time and handle patients with a firm and gentle grasp.Identify yourself and give your title.Inform the patient of what you are going to do and how you intend to proceed.Effective patient communication is critical to safe patient transfers.

Question 17

All of the following are related EXCEPT
A)assisted standing pivot.
B)standby assist.
C)log roll assist.
D)hydraulic lift.

Accepted Answer

Radiologic technologists use four types of wheelchair transfers: (1)standby assist,(2)assisted standing pivot,(3)two-person lift,and (4)hydraulic lift.Log roll assist is not a wheelchair transfer.

Question 18

When positioning a patient in a rolling motion transfer,
A)always move the patient toward you.
B)ask the patient which way he or she wants to be rolled.
C)roll the patient toward his or her weak side.
D)never roll a patient because it creates postural hypotension.

Accepted Answer

To minimize trauma and discomfort for the patient,take an extra moment to make sure that the patient is ready to make the move.When moving a patient,always roll the patient toward you.

Question 19

You have received a patient from the nursing floor who needs to be transferred by way of a hydraulic lift.The patient arrives at the medical imaging department on a cart without a transfer sling.To proceed with a safe lift,you should
A)set up the patient in a transfer sling.
B)roll the patient over onto a transfer sling.
C)improvise using a sheet as a transfer sling.
D)call the nursing floor and return the patient to be placed on a sling.

Accepted Answer

Prior arrangements should be made with the nursing staff to have patients needing hydraulic lift transfers arrive in the radiology department sitting on a transfer sling.If the patient arrives without a sling,call the nursing staff and discuss the need for a sling.One option is to send the patient back to the floor and have the patient return sitting on the sling.

Question 20

For efficient and safe patient transfers and handling,the imaging professional should
A)use mobility muscles for posture.
B)use red postural muscles for support.
C)narrow the stance and stand on tiptoes for flexibility.
D)keep the knees straight and taut and lift from the shoulders.

Accepted Answer

For effective patient moving and handling,practitioners should use white mobility muscles for lifting and red postural muscles for support.Lifting should be done by bending and straightening the knees.The back should be kept straight or in a position of slightly increased lumbar lordosis.

Quiz 13: Safe Patient Movement and Handling Techniques

When moving a patient from a cart to the radiographic table,it would be appropriate to

The purpose of a patient transfer is to

All of the following are true of good lifting mechanics EXCEPT

When lifting patients,it is important to

A sudden drop in a patient's blood pressure caused by standing or sitting upright is called

Which of the following statements is TRUE?

When transferring a patient from a wheelchair to a radiographic table,

Mobility muscles differ from stability muscles in that

If a patient cannot assist with a cart-to-table transfer,

After successfully completing a safe hydraulic lift of a large patient,the imaging professional should

As you raise a cardiac patient from a supine position on the radiographic table,

When performing a two-person lift of a patient from a wheelchair,it is important to

As you enter a patient's room to perform a portable examination,you notice the patient sleeping on her side with one leg over the other with the knees bent.This patient is in the _____ position.

When moving a patient to or from a stretcher,

According to the U.S.Department of Labor,one of the most common work-related injuries resulting in lost work time and disability is

When transferring patients for medical imaging procedures,communication is an essential component of a safe and efficient transfer.Which of the following is not a recommended communication strategy to achieve a safe transfer?

All of the following are related EXCEPT

When positioning a patient in a rolling motion transfer,

You have received a patient from the nursing floor who needs to be transferred by way of a hydraulic lift.The patient arrives at the medical imaging department on a cart without a transfer sling.To proceed with a safe lift,you should

For efficient and safe patient transfers and handling,the imaging professional should