Question 1

Describe the Trendelenburg position.

Accepted Answer

When the bed is positioned with the foot of the bed higher than the head or with the head of the bed lower than the foot of the bed.

Question 2

Your patient is a 48-year-old woman who fractured her pelvis when she fell off a porch. You have been using a sit-to-stand lift to transfer her between the bed and the chair. You would like to work with her on standing tolerance. Which of the following would be your best option for accomplishing this goal?

Accepted Answer

Transferring the patient to a sit-to-stand lift to work on standing tolerance will provide a safe and controlled environment for the patient to practice standing while also providing support and stability. Using a walker, as mentioned in option D, may be a future goal, but it is not the best option at this time as the patient is currently dependent on the use of a sit-to-stand lift for transfers. Options A and B involve manually blocking the patient's knees, which may be uncomfortable for the patient and could potentially cause injury if done incorrectly.

Question 3

Which of the following is most strongly related to injuries sustained when assisting patients?

Accepted Answer

C

Question 4

Your patient is an 88-year-old man who underwent left total hip arthroplasty (using a posterior approach) 3 weeks ago because of severe joint degeneration. After his surgery he developed pneumonia. He is recovering and does not have weight-bearing restrictions, but he continues to demonstrate generalized weakness. You are going to transfer him from the bed to a bedside chair using a total body lift. Which of the following is the best method for positioning the lift sling underneath him?

Accepted Answer

The answer of Your patient is an 88-year-old man who...

Question 5

Which of the following statements regarding the use of lateral transfer devices for supine patient transfers is true?

Accepted Answer

Most lateral transfer devices are designed to minimize shearing and rely on pulling forces to safely transfer patients, reducing the risk of injury to both patients and caregivers.

Question 6

You are performing a lateral transfer of your patient from the bed to a stretcher in the ICU. No one is available to assist you with the transfer, but you do have an air cushion transfer device. Where should you position yourself for the safest transfer once the device is in place?

Accepted Answer

Positioning yourself on the far side of the stretcher, at the patient's trunk, is the safest choice. This will allow you maximum control over the air cushion transfer device during the lateral transfer. It also allows you to monitor the patient's breathing and overall condition during the transfer, making it the most optimal position for patient safety. The other options, such as being at the foot of the device or beside the bed, may not provide as much control over the device or visibility of the patient during the transfer. Being at the head of the device is also not recommended because it puts the patient's head in a vulnerable position and may not allow for easy control of the transfer device.

Question 7

Which of the following maneuvers is considered to be the most physically stressful to the caregiver?

Accepted Answer

The answer of Which of the following maneuvers is considered...

Question 8

You are a therapist working in home health care. Your patient is a 23-year-old man who recently sustained a spinal cord injury resulting in complete paralysis below the level of his upper chest. His family is having significant difficulty transferring him between the bed and the chair. Which of the following should you primarily consider when making recommendations to his family about transfer methods?

Accepted Answer

The amount of help the patient requires for the transfer should be the primary consideration when making transfer recommendations to the patient's family. This will determine what type of equipment or assistive devices are needed and how many people may need to assist with the transfer. The age of the persons assisting, the height of surfaces, and the number of steps leading to the house may also be important factors, but they are secondary to the patient's needs for safe and effective transfers.

Question 9

Your patient is a 47-year-old man with good upper-body strength and poor lower-extremity strength. He weighs 385 lbs. and has just had surgery to repair a fractured left ankle. He also has a groin wound that requires wound care. He is currently nonweight-bearing on the left lower extremity and needs to get out of the bed for wound care. Which of the following is the most appropriate response regarding this patient's transfer?

Accepted Answer

Given the patient's weight, non-weight-bearing status, and the need for wound care, a lateral transfer with a bariatric transfer board and the assistance of multiple people is the safest option to prevent further injury to the patient and ensure the safety of the healthcare providers. Options A and C involve equipment that may not safely support the patient's weight, and option B neglects the necessity of performing wound care appropriately.

Question 10

Which of the following patients would be the best candidate for use of a sit-to-stand lift?

Accepted Answer

A sit-to-stand lift is most appropriate for patients who can bear some weight on their legs and follow instructions for safe transfer, making the 57-year-old woman who can comply with partial weight-bearing restrictions the best candidate.

Question 11

Which of the following positions creates the greatest risk of injury to the clinician during a lateral supine transfer requiring the assistance of two or more people?

Accepted Answer

Standing beside the patient and leaning forward as the patient is moved laterally creates the greatest risk of injury to the clinician. This position can lead to overextension of the back and poor mechanical leverage, increasing the risk of musculoskeletal injuries.

Question 12

You have transferred a patient out of bed using a total body lift with a sling. You have positioned the patient in a bedside chair and plan to return in 1 hr to assist the patient back into bed. Which of the following choices is the best way to manage the sling upon the completion of this transfer?

Accepted Answer

Leaving the sling under the patient while ensuring it is smooth and without wrinkles is the best practice. This approach minimizes the need for additional transfers and adjustments, reducing the risk of discomfort or injury to the patient.

Question 13

Which of the following is true of a sit-to-stand lift?

Accepted Answer

The sling for a sit-to-stand lift is designed to support the upper body of the patient, facilitating the transition from a seated to a standing position. This is crucial for patients who have some weight-bearing capacity but need assistance to stand up safely.

Question 14

Which of the following items is generally not advised for repositioning of the seated patient?

Accepted Answer

A rigid transfer board is not advised for repositioning of the seated patient as it can cause injury or discomfort to the patient. Friction-reducing sheets, sit-to-stand lifts, and total body lifts are all options that can assist with repositioning a seated patient safely and comfortably.

Question 15

Which of the following is involved in the setup for a sit-to-stand lift transfer?

Accepted Answer

The anterior aspects of the patient's lower legs should be in contact with the leg pads to provide stability and support during the lift.

Question 16

When transferring a supine patient using a lateral transfer device, which of the following maneuvers should always be avoided?

Accepted Answer

Lifting a patient with a lateral transfer device should always be avoided because these devices are designed for horizontal movement, not vertical lifting, to prevent injury to both the patient and the healthcare provider.

Question 17

You are about to transfer a patient who weighs 348 lbs. from the bed to a gurney. Which of the following is the most appropriate method of transferring this patient?

Accepted Answer

The most appropriate method for transferring a patient who weighs 348 lbs. is to secure the assistance of two additional people and move the patient laterally in a series of small motions. This is the safest way to move the patient as it avoids sudden jerking or pulling motions that can put the patient's safety in danger. It is also important to minimize physical strain on the healthcare workers and prevent any injury during the transfer process. Option A and D involve too few or too many healthcare workers to ensure safe and effective transfer, while option B poses a high risk of injury due to too much force applied during lateral movement.

Question 18

Which of the following is appropriate when repositioning a patient who has slid down toward the foot of the bed?

Accepted Answer

The answer of Which of the following is appropriate when...

Question 19

Which of the following lateral transfer devices is particularly well-suited for use with patients with integumentary problems?

Accepted Answer

Air-assisted devices are particularly well-suited for use with patients with integumentary problems because they reduce shear and friction during the transfer, minimizing the risk of skin damage.

Question 20

Which of the following patient situations is the best indication for a zero-lift transfer?

Accepted Answer

The answer of Which of the following patient situations is...

Quiz 8: Transferring Dependent Patients