Ch. 33 Ergonomics Flashcards
A nurse is caring for a client who is receiving
enteral tube feedings due to dysphagia.
Which of the following bed positions should
the nurse use for safe care of this client?
A. Supine
B. Semi‑Fowler’s
C. Semi‑prone
D. Trendelenburg
B. CORRECT: In the semi‑Fowler’s position, the client lies supine with the head of the bed elevated 15° to 45° (typically 30°). This position helps prevent regurgitation and aspiration by clients who have difficulty swallowing. This is the safest position for clients receiving enteral tube feedings.
A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following actions is the nurse’s priority at this time?
A. Obtain a walker for the client to use to transfer back to bed.
B. Call for additional staff to assist with the transfer.
C. Use a transfer belt and assist the client back into bed.
D. Determine the client’s ability to help with the transfer.
D. CORRECT: The first action that should be taken using the nursing process is to assess or collect data from the client. Determine the client’s ability to help with transfers and then proceed with a safe transfer.
A nurse is instructing a client who has COPD
about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make?
A. “Lie on your back with our head and shoulders supported by a pillow.”
B. “Have your head turned to the side while you lie on your stomach.”
C. “Have a table beside your bed so you can sit on the bedside and rest your arms on the table.”
D. “Lie on your side with your top arm resting
on the bed and your weight on your hip.”
C. CORRECT: This is an accurate description for the orthopneic position. This position allows for chest expansion and is especially beneficial for clients who have COPD.
A nurse manager is reviewing guidelines for
preventing injury with staff nurses. Which of
the following instructions should the nurse
manager include? (Select all that apply.)
A. Request assistance when repositioning a client.
B. Avoid twisting your spine or bending at the waist.
C. Keep your knees slightly lower than your hips when sitting for long periods of time.
D. Use smooth movements when lifting and moving clients.
E. Take a break from repetitive movements every 2 to 3 hr to flex and stretch your joints and muscles.
A. CORRECT: To reduce the risk of injury, at least two staff members should reposition clients.
B. CORRECT: Twisting the spine or bending at the waist (flexion) increases the risk for injury.
D. CORRECT: Using smooth movements instead of sudden or jerky muscle movements helps prevent injury.
A nurse educator is reviewing proper body
mechanics during employee orientation. Which of the following statements should the nurse identify as an indication that an attendee understands the teaching? (Select all that apply.)
A. “My line of gravity should fall outside my base of support.”
B. “The lower my center of gravity, the more stability I have.”
C. “To broaden my base of support, I should spread my feet apart.”
D. “When I lift an object, I should hold it as close to my body as possible.”
E. “When pulling an object, I should move my front foot forward.”
B. CORRECT: Being closer to the ground lowers the center of gravity, which leads to greater stability and balance.
C. CORRECT: Spreading the feet apart increases and widens the base of support.
D. CORRECT: Holding an object as close to the body as possible helps avoid displacement of the center of gravity and thus prevent injury and instability.
