Ch10 Review

Question 1

List 9 guidelines for using proper body mechanics

Answer 1

1. )assess the load
2. )think ahead, plan, & communicate the move
3. )Check your base of support & be sure you have firm footing
4. )face what you’re lifting.
5. )keep your back straight.
6. )begin in a squatting position and lift with your legs.
7. )tighten your stomach muscles when beginning the lift.
8. )keep the object close to your body
9. )push when possible rather than lifting.

Question 2

What is positioning?

Answer 2

Helping Pt. into positions that promote comfort & good health.

Question 3

How often should bed bound patients be repositioned?

Answer 3

periodically

Question 4

in which position is a Pt. lying on his side

Answer 4

lateral position

Question 5

in which position is a Pt. lying on his stomach?

Answer 5

Prone position

Question 6

in which position is a Pt. lying flat on his back?

Answer 6

Supine Position

Question 7

in which position is a Pt lying on his left side with the lower arm behind the back and the upper knee bent and raised toward chest?

Answer 7

Sims position

Question 8

in which position is a Pt. in a semi sitting position (45-60 degrees) with the head and shoulders elevated?

Answer 8

Fowlers position

Question 9

What is a draw sheet?

Answer 9

an extra sheet placed on top of the bottom sheet when the bed is made it allows a caregiver to reposition the Pt. without causing shearing (rubbing)

Question 10

What is shearing?

Answer 10

rubbing or friction that results from the skin moving one way and the bone underneath it remaining fixed or moving in the opposite direction

Question 11

when is logrolling necessary?

Answer 11

in cases of neck and back problems, spinal cord injuries, or back or hip surgeries

Question 12

how does dangling benefit a resident?

Answer 12

the weight of the Pt. legs hanging down from the bed helps the Pt. sit up

Question 13

Describe how a transfer belt is applied

Answer 13

• Place transfer belt over the Pt. clothing & around waist NOT OVER SKIN
• tighten the buckle until it is snug. leave enough room to insert flat fingers/hand comfortably under the belt
• check to make sure that skin or skin folds(i.e breasts) are not caught under the belt
• position the buckle slightly off-center in the front or back for comfort.

Question 14

before helping a Pt. into or out of a W/C, what should a nurse do?

Answer 14

make sure Pt. is wearing non skid footwear that is securely fastened

Question 15

if a resident has a weaker side, which side moves first in transfer__ the weaker or stronger?

Answer 15

The stronger side moves first

Question 16

when may stretchers(gurney) be used for Patients?

Answer 16

may be used for serious injuries and illnesses and/or when a person can’t or shouldn’t walk but needs to be transported somewhere

Question 17

list five guidelines for using a mechanical lift?

Answer 17

• if possible have two people doing the transfer
• keep W/C or chair close so pt is only moved short distance
• check valves on lift before using
• check the sling & straps for any fraying or tears.
• open the legs of the stand to the widest position before helping the Pt. into lift.

Question 18

Define ambulation

Answer 18

Walking

a Pt. who is ambulatory is one who can get out of bed and walk

Question 19

What is the purpose of Canes?

Answer 19

Help with balance

if one side is weaker cane should be held with hand on stronger side

Question 20

How many Ft. does a quad cane have?

Answer 20

4 rubber tipped ft.

Question 21

which type of adaptive device for walking can be used when a Pt. can bear no weight on one leg___ cane, walker or crutches?

Answer 21

Crutches

Question 22

Which side should a Nurse stand near when a Pt. is using adaptive equipment___the weaker or stronger side?

Answer 22

Weaker side