Ambulation, Transfering, and Range of Motion Flashcards
A nurse stands facing a patient to demonstrate active range – of – motion exercises. Which of the following should the nurse do when demonstrating hyperextension of the hips?
Move the leg behind the body.
Move the leg forward and up.
Move the leg medially toward the other leg.
Turn the foot and leg away from the other leg.
Move the leg behind the body.
As a nurse ambulates an unsteady patient, the patient becomes light – headed and begins to fall. Which of the following interventions by the nurse is appropriate in this situation?
Wrap both arms around the patient’s arms and shoulders.
Move both feet together when the patient begins to fall.
Protect the patient’s extremities while lowering him to the floor.
Extend one leg and allow the patient to slide down it.
Extend one leg and allow the patient to slide down it.
A nurse is observing an assistive personal (AP) who is using a mechanical lift with a hammock sling to transfer a patient from the bed to a chair. The nurse should intervene if the AP
Places the sling under the patient from shoulders to knees.
Leaves the bed in the lowest position throughout the procedure.
Locks the hydraulic valve before attaching the sling to the lift.
Raises the head of the bed to a sitting position just before transfer.
Leaves the bed in the lowest position throughout the procedure.
A nurse is caring for a hospitalized patient who is performing active range – of – motion exercises. Which of the following body movements should indicate to the nurse the patient has full range of motion of the shoulder?
Adducting the arm so that it lies next to the patient’s side.
Flexing the shoulder by raising the arm from a side position to a 180 degree angle.
Abducting the arm to a 90 degree angle from the side of the body.
Circumducting the shoulder in a 180 degree half circle.
Flexing the shoulder by raising the arm from a side position to a 180 degree angle
A nurse is performing a physical assessment on a patient and instructs the patient to stand with his feet together and arms at his side. The purpose of positioning the patient in this manner is to test which of the following?
Balance
Muscle strength
Reflexes
Coordination
Balance
A nurse in the emergency department is caring for a patient who has a knee injury. The patient will be discharged and will be using a pair of axillary crutches for the first time. Which of the following instructions should the nurse include when discharging this patient?
Lean on the crutches to support body weight when standing.
Fully extend arms when holding onto the hand grips.
Hold the crutches on the unaffected side when preparing to sit in a chair.
Hold the crutches 9 to 12 inches in front of and to the side of each foot.
Hold the crutches on the unaffected side when preparing to sit in a chair.
A nurse is about to transfer to a chair a patient who has a weakened left leg. Which of the following actions by the nurse demonstrates correct transfer technique?
Positioning the chair slightly behind the nurse so that the seat faces the patient’s bed.
Placing the patient’s left leg in front of her right leg just prior to the transfer.
Aligning the nurse’s knees with the patient’s knees just before the transfer.
Grasping the patient under the axilla to assist her to her feet.
Aligning the nurse’s knees with the patient’s knees just before the transfer.
