Deck 10: Positioning the Client

Question 1

The nurse may assign which tasks to the assistive personnel (AP)? Select all that apply.

A) Determining the number of staff needed for safe transfer
B) Assessing the client's ability to assist with transfers
C) Use of a hydraulic lift when moving a client
D) Determining appropriate positions for the client
E) Encouraging the client to participate as much as possible in repositioning

Answer 1

C, E
Explanation:1. Determining the number of staff needed to safely transfer a client is the nurse's responsibility because it takes advanced education, and should not be assigned to the AP.
2. Assessing the client's ability to assist is the nurse's responsibility because it takes advanced education, and should not be assigned to the AP.
3. The nurse can safely assign use of a hydraulic lift to the AP as long as the nurse assesses the AP's competence to use the equipment.
4. Determining the best position for the client is the nurse's responsibility because it takes advanced education, and should not be assigned to the UAP.
5. The AP should be instructed always to encourage client participation in the provision of care in order to foster autonomy for the client.

Question 2

The nurse is observing two assistive personnel (APs) moving a client with emphysema up in bed. Which action would indicate the need for further instruction on the procedure?

A) One AP adjusts the bed to a flat position.
B) The wheels are locked and the bed is raised to waist level.
C) All pillows are removed, with one placed against the head of the bed.
D) One AP stands on either side of the bed.

Answer 2

A
Explanation:1. The client with emphysema might not tolerate lying flat in bed, and the nurse would need to instruct the APs on the importance of altering their technique based on the needs of the client. The remaining actions are correct procedure.
2. The client with emphysema might not tolerate lying flat in bed, and the nurse would need to instruct the APs on the importance of altering their technique based on the needs of the client. The remaining actions are correct procedure.
3. The client with emphysema might not tolerate lying flat in bed, and the nurse would need to instruct the APs on the importance of altering their technique based on the needs of the client. The remaining actions are correct procedure.
4. The client with emphysema might not tolerate lying flat in bed, and the nurse would need to instruct the APs on the importance of altering their technique based on the needs of the client. The remaining actions are correct procedure.

Question 3

Assistive personnel (AP) are asked to transport a bariatric client to the radiology department. Which action should the AP take when pushing the wheelchair?

A) Move the front foot backward
B) Widen the stance and flex the knees
C) Lean forward when pushing the wheelchair
D) Contract the gluteal and abdominal muscles

Answer 3

C
Explanation:1. When pushing an object, the front foot should be moved forward.
2. Widening the stance and flexing the knees is helpful when lifting an object.
3. When pushing an object, the weight of the body should be used as a force by leaning forward.
4. Contracting the gluteal and abdominal muscles is helpful when lifting an object.

Question 4

A client needs to be positioned prone for an hour each day. Which action should the nurse take to properly place the client in this position? Select all that apply.

A) Support the lower legs on a pillow
B) Place a small pillow under the head
C) Place trochanter rolls along the femurs
D) Place a small pillow under the abdomen
E) Place small pillows under both upper arms

Question 5

A client needs to be moved with a hydraulic lift. Which action should the nurse take to ensure the move is completed safely?

A) Lower the height of the bed
B) Lower the rails on both sides of the bed
C) Remove the canvas seat after the move occurs
D) Ask assistive personnel (AP) to help with the move

Question 6

A client is to walk the length of the hallway twice a day. For which reason should a gait belt be avoided when ambulating this client? Select all that apply.

A) Client has fallen in the past.
B) Client is unable to bear weight.
C) Client needs maximum assistance.
D) Client is recovering from bariatric surgery.
E) Client walked the hallway earlier in the day.