Deck 16: Moving and Positioning Patients

Question 1

The nurse plans care for hospitalized patients.When planning care for this patient, the nurse includes intervention to prevent which preventable condition that is responsible for the most preventable deaths during hospitalization?

A)Embolism
B)Skin breakdown
C)Urinary tract infection
D)Hospital-acquired pneumonia

Answer 1

Embolism

Question 2

The nurse provides care to a bedbound patient who is at increased risk for the formation of a blood clot.When planning care for this patient, the nurse includes intervention to address which condition?

A)Footdrop
B)Contractures
C)Osteoporosis
D)Thromboembolism

Answer 2

Thromboembolism

Question 3

The nurse reinforces teaching for the caregiver on an immobile patient who will be discharged home soon.Which caregiver action when supervising care indicates the need for the nurse to intervene?

A)Using mild soaps for cleansing the skin
B)Repositioning in bed at 2-hour intervals
C)Offering the patient high-protein snacks
D)Massaging directly on reddened bony prominences

Answer 3

Massaging directly on reddened bony prominences

Question 4

The nurse encourages a patient to take full, deep breaths to keep the alveoli open to prevent which complication from occurring?

A)Shearing
B)Peristalsis
C)Atelectasis
D)Deep vein thrombosis (DVT)

Question 5

A nurse delegates the task of assisting patients with ambulation to a nursing assistant.The nurse intervenes when observing the nursing assistant implements which action?

A)Holds the transfer belt loosely near the patient's body while ambulating
B)Instructs the patient to move from supine to standing positions in stages
C)Assists the patient to a dangling position with his or her feet firmly on the floor
D)Raises the head of the bed and assists the patient with sitting on the side of the bed

Question 6

The nurse plans care for a patient who has a history of becoming dizzy, pale, clammy, and nauseated when moving from a lying position to a sitting position.The nurse plans interventions to prevent which condition?

A)Thromboembolism
B)Orthostatic hypotension
C)Orthostatic hypertension
D)Symptomatic bradycardia

Question 7

The nurse observes a caregiver positioning a patient in the bed.Which caregiver action requires an intervention by the nurse?

A)Locking the wheels on the bed
B)Elevating the bed to a comfortable working height
C)Changing a patient's position at least every two hours
D)Allowing a patient's arm to dangle over the side of the bed

Question 8

A nurse reinforces education to a patient about how to avoid developing osteoporosis.Which patient statement indicates to the nurse a need for additional teaching?

A)"I will drink milk products."
B)"I will walk several times a week."
C)"I will take a daily vitamin D supplement."
D)"I will remain in bed when I have a cold."

Question 9

Which term does the nurse include in the plan of care for skin that slides over another surface in the opposite direction, which increases the risk of abrasions and open skin areas?

A)Shearing
B)Peristalsis
C)Atelectasis
D)Deep vein thrombosis (DVT)

Question 10

While assisting the primary nurse who is manually transferring a patient from a bed to a chair, the nurse intervenes when the primary nurse implements which action during the transfer?

A)Twisting at the torso
B)Standing further away from the patient
C)Using proper body mechanics
D)Bending at the back

Question 11

When educating a student about how to correctly logroll a patient, the nurse recognizes that additional teaching is necessary when the student makes which statement?

A)"I will count to three before the move occurs."
B)"I will ask two people to help me logroll a patient."
C)"I will stand at the patient's feet and control the turn."
D)"I will ensure that staff members turn the patient as one unit."

Question 12

Which term does the nurse document in the patient's medical record for the movement of the intestines?

A)Shearing
B)Peristalsis
C)Atelectasis
D)Deep vein thrombosis (DVT)

Question 13

While caring for a patient who has a spinal cord injury, the nurse obtains assistance to logroll the patient.The nurse intervenes when observing the assistant prepare for the logroll by standing at which patient location?

A)The feet
B)The head
C)The waist
D)The thighs

Question 14

The nurse provides care for a patient who has been on prolonged bedrest and is now experiencing shortening and tightening of the muscles due to disuse.The nurse includes interventions in the plan of care to address which condition?

A)Footdrop
B)Contractures
C)Osteoporosis
D)Thromboembolism

Question 15

The nurse provides care to a patient who begins to fall during ambulation.Which nursing action ensures safety for the nurse and the patient in this situation?

A)Holding the patient upright
B)Keeping the back bent while lowering the patient
C)Allowing the patient to slide down the nurse's leg to the floor
D)Maintaining the knees in a straight position while lowering the patient

Question 16

The nurse provides care to a patient who develops respiratory distress.The patient needs to be positioned to allow for the chest to expand to maximum capacity for moving air in and out of the lungs.In which position does the nurse place the patient?

A)Supine
B)Orthopneic
C)Right Sims
D)Trendelenburg

Question 17

The nurse reinforces education to a patient who is at risk for thrombosis.Which patient action indicates correct understanding of the information presented?

A)Crossing the legs at the knee
B)Limiting movement of the extremities
C)Performing active range-of-motion exercises
D)Refusing to wear sequential compression devices

Question 18

The nurse provides care to a patient who is diagnosed with a loss of bone minerals increasing the risk for fractures.When planning care for this patient, the nurse includes interventions to address which condition?

A)Footdrop
B)Contractures
C)Osteoporosis
D)Thromboembolism

Question 19

The nurse provides care to a patient whose proper flexion of the ankle is lost, and permanent plantar flexion of the foot develops.The nurse includes interventions in the plan of care to address which condition?

A)Footdrop
B)Contractures
C)Osteoporosis
D)Thromboembolism

Question 20

The nurse reinforces education for a patient with a history of orthostatic hypotension.Which patient statement indicates the need for additional teaching?

A)"I will remain flat in bed."
B)"I will change position in bed frequently."
C)"I will ensure dorsal and plantar flexion of my feet."
D)"I will perform active range-of-motion exercises several times a day."

Question 21

The nurse presents information regarding the Handle With Care campaign that was instituted by the American Nurses Association (ANA)to new staff members.Which staff member statements indicates correct understanding of the information presented?

A)"The purpose of the Handle With Care campaign is to build an industry-wide program in health care to prevent musculoskeletal injuries."
B)"The Handle With Care campaign provides guidelines for disciplinary action for those who lift and move patients incorrectly."
C)"The Handle With Care bill was passed by the House of Representatives and requires safe patient handling programs in all health-care facilities."
D)"The Handle With Care campaign instituted a 'no lifting' program that prevents nursing staff from lifting patients under any circumstance."

Question 22

A patient lies in a special type of bed frame that allows the entire bed to turn from side to side.The mattress is low air-loss and the bed can be programmed to turn by degrees at set intervals.Which term does the nurse use when documenting information about this bed in the patient's medical record?

A)Mattress overlay
B)Combination bed
C)Specialized mattress
D)Continuous lateral-rotation bed

Question 23

The nurse provides care for an immobile patient.Which interventions does the nurse include in the patient's plan of care to prevent psychological complications for this patient? Select all that apply.

A)Making all decisions about the patient's care
B)Distracting the patient by turning on the television
C)Encouraging the patient to stay awake most of the day
D)Talking to the patient about photographs of the adult children
E)Closing blinds to decrease natural lighting in the patient's room

Question 24

The nurse provides care to a patient who is at risk for integumentary complications.Which interventions does the nurse include in the patient's plan of care based on this information? Select all that apply.

A)Maintaining adequate nutrition
B)Using mild soaps for cleansing the skin
C)Repositioning in bed at 4-hour intervals
D)Drying the skin vigorously after bathing
E)Inspecting bony prominences at least every 2 hours

Question 25

Which positioning device does the nurse place to prevent the patient from experiencing an external rotation of the legs?

A)A foot board
B)A blanket roll
C)A set of stirrups
D)A trochanter roll