Activity and Movement

Question 1

What does evaluation determine?

Answer 1

If mobility outcomes were met and if interventions were helpful

Question 2

Principles of safe patient transfer #1

Answer 2

training nursing staff about mechanical lift equipment and use

Question 3

Principles of safe patient transfer #2

Answer 3

Maximizing patient assistance in movement

Question 4

Principles of safe patient transfer #3

Answer 4

Teaching patients with some mobility to shift their position every 15 minutes while awake

Question 5

Principles of safe patient transfer #4

Answer 5

Leaving top side rails up to allow patients to self position

Question 6

Principles of safe patient transfer #5

Answer 6

Using leverage, rolling, turning, or pivoting rather than lifting

Question 7

Principles of safe patient transfer #6

Answer 7

Reducing friction between the patient and the transfer surface

Question 8

Principles of safe patient transfer #7

Answer 8

Following proper body mechanics

Question 9

Principles of safe patient transfer #8

Answer 9

Following algorithms developed by the VA (2016)

Question 10

Nurses cannot delegate

Answer 10

Teaching

Question 11

The nurse only lifts __ lbs or less independently

Answer 11

35

Question 12

5 body mechanic tips

Answer 12

1) Bend at the knees
2) Engage core
3) Avoid twisting
4) Shift weight
5) Keep trunk erect

Question 13

4 fall risks

Answer 13

Weak, poor muscle tone, impaired mobility, unsteady

Question 14

Fall precaution #1

Answer 14

Place patient on fall precautions with an alert armband and an alert in EHR

Question 15

Fall precaution #2

Answer 15

Keep walking pathways clear

Question 16

Fall precaution #3

Answer 16

Keep walkways dry and free from spills

Question 17

Fall precaution #4

Answer 17

Keep call light within reach

Question 18

Fall precaution #5

Answer 18

Keep sitters with patient if constant monitoring is required

Question 19

How often must fall risk assessment be completed

Answer 19

Every time someone is admitted

Question 20

How often must a fall risk be repeated?

Answer 20

At least daily or more if needed

Question 21

Fall reduction is essential because if a patient falls…

Answer 21

Hospitals no longer receive money for the additional care

Question 22

Two more fall precautions

Answer 22

Frequently orient and reorient the patient

Ensure clothing fits properly

Question 23

If the patients is ambulatory require…

Answer 23

the use of nonskid footwear

Question 24

3 specialized fall precautions

Answer 24

Frequently observe patient
Place patient in room close to nurse’s station
Use a low bed

Question 25

3 specialized fall precautions

Answer 25

Use mattress/chair with pressure alarms
Use floor mats beside bed
Use side rails

Question 26

4 benefits of proper positioning

Answer 26

1) maintains body and joint alignment
2) promotes blood flow
3) maintains skin integrity
4) ensures comfort

Question 27

Crossing legs and ankles can lead to…

Answer 27

Pooling and occlusion of blood

Question 28

When is logrolling required?

Answer 28

For patient with spinal cord injuries or following surgery

Question 29

Ensure the patient’s spine remains aligned during positioning

Answer 29

Logrolling

Question 30

How many personnel for logrolling

Answer 30

Assistance of at least on or two other personnel

Question 31

Where is the pillow placed for log rolling?

Answer 31

Between the legs

Question 32

How long does it stay there?

Answer 32

It remains there as long as the patient is in a side-lying position

Question 33

Where are pillows for side lying position?

Answer 33

Between legs and arms, and behind back