Question 1

The nurse is caring for a client who uses a hydraulic lift to be moved out of the bed. What is the nurse's first action prior to starting this procedure?

Accepted Answer

A minimum of 2 healthcare workers is required to safely move a client with a hydraulic lift. The nurse should first obtain assistance.

Question 2

The nurse is observing a UAP assist a client with a vascular problem back into bed. The nurse would intervene if the UAP placed this client in what position in the bed?

Accepted Answer

The elevate knee-gatch bed position is contraindicated in clients with vascular problems because it will put pressure on the blood vessels at the back of the knee.

Question 3

The nurse has completed discharge teaching about range-of-motion exercises with an elderly client that are to be completed at home. The nurse explains that these exercises are important to complete for what reason?

Accepted Answer

ROM exercises will help prevent a loss of muscle mass which could lead to difficulties performing activities requiring strength.

Question 4

The nurse is teaching a group of newly hired UAP's about proper body mechanics and instructs them to use which most important piece of equipment to ensure that proper body mechanics are used?

Accepted Answer

No special equipment is required to do proper body mechanics but the healthcare worker must know what equipment is available to assist with safe movement of a client.

Question 5

The UAP is caring for a 79-year-old client who is immobilized and is preparing to complete range-of-motion (ROM)exercises. The nurse cautions the UAP to avoid which motion in an elderly client?

Accepted Answer

Hyperextension should be avoided in the elderly because joints become joints become less flexible with age and hypertension may cause pain or nerve damage.

Question 6

The charge nurse is making assignments for the nursing unit and knows that which healthcare worker is responsible for ensuring that staff use proper body mechanics in caring for assigned clients?

Accepted Answer

All healthcare personnel are responsible for using proper body mechanics when caring for clients.

Question 7

The nurse is preparing to transport a six-month-old infant to the radiology department. What measures will the nurse institute to safely complete this procedure? Select all that apply.

Accepted Answer

A high-top crib ensures the infant can't fall during transport.
Infant is kept covered to prevent hypothermia from occurring.

Question 8

The nurse is observing an unlicensed assistant person (UAP)make an occupied bed and will provide correction if the UAP uses which technique with body mechanics?

Accepted Answer

Pulling an object (or client)to move it puts a strain on a person's back. The UAP should push to move the object using the legs.

Question 9

The nurse will stand where when preparing to ambulate a client who uses crutches?

Accepted Answer

The nurse stands behind the client and toward the affected side to provide support if the client loses balance.

Question 10

The nurse is caring for a client who is complaining of esophageal reflux symptoms. After administering the prescribed medication, the nurse will place the client in what bed position to assist in providing comfort to this client?

Accepted Answer

Reverse Trendelenburg places the client in position with the bed tilted down starting at the head of the bed. This allows gravity to assist with keeping gastric contents in the stomach and out of the esophagus.

Question 11

The nurse observes the unlicensed assistive person (UAP)perform range-of-motion (ROM)exercises to a client's leg. The nurse knows that UAP is correctly performing abduction of the hip when which set of motions is completed?

Accepted Answer

Abduction is the movement of a limb away from the medial plane of the body so abduction of the leg would be movement to the side away from the body.

Question 12

The nurse and the UAP are preparing to move a client from the bed to a chair for the first time using a hydraulic lift. What is the first thing the nurse should do prior to beginning this procedure?

Accepted Answer

Prior to using the hydraulic lift with a client for the first time, the nurse should demonstrate the use of the lift to calm any anxieties the client may have about the lift.

Question 13

The nurse is preparing to place a client with COPD in the orthopneic bed position and will place what item in front of this client that is necessary to maintain this position?

Accepted Answer

An overbed table is necessary when the client is in the orthopneic position because it assists the client with exhalation.

Question 14

The nurse is preparing to assist a client with ambulation and knows a gait belt may not be appropriate to use for a client with which condition?

Accepted Answer

A gait belt may not be appropriate for a client who has an abdominal incision because of the pressure is may put on the incision.

Question 15

The nurse attempts to meet the developmental needs of a four-year-old child while doing range of motion (ROM)exercises by doing what with the child?

Accepted Answer

Turning the ROM exercise experience into a game will meet the child's developmental needs and elicit the most cooperation from the child.

Question 16

The nurse and the UAP are preparing to logroll a client who has a spinal injury. The nurse will ask the UAP to obtain what assistive device prior to beginning the procedure?

Accepted Answer

A friction-reducing device is necessary to pull the client to the side of the bed prior to logrolling the client.

Question 17

The nurse is aware that clients who use the swing-to-gait for ambulation on a regular basis are at risk for development of which problem?

Accepted Answer

Prolonged use of the swing-to-gait can cause atrophy of unused muscles, the legs.

Question 18

The nurse is watching an unlicensed assistive person (UAP)prepare to move an eighteen-month-old toddler from the pediatric unit to the radiology unit. The nurse will stop the UAP if the UAP chooses which form of transport?

Accepted Answer

A stretcher is not a safe form of transport because a mobile toddler could possibly fall off of it.

Question 19

The nurse is aware that which client would best be able to handle a three-point gait using crutches?

Accepted Answer

The three-point gait requires that the client must bear the entire body weight on the unaffected leg. A young person whose only injury is a broken right ankle would be able to do this.

Question 20

The nurse is caring for a client with limited movement who weighs 415 pounds and will plan to use which assistive device when moving this client up in bed?

Accepted Answer

A mechanical lift is necessary to move an obese client up in the bed because the client's weight and immobility will require the nurse to lift more than 35 pounds of the client's weight.

Quiz 60: Mobility