Lab 5 Mobility in acute care Flashcards
If there is a short and a tall nurse which height do you raise the bed to
raise the height of the bed to the shorter person
Which way should your palms be facing when lifting someone
always have palms facing up to promote optimal body mechanics
when pushing how are you supposed to rock your weight
Rock your weight from back leg to front leg
When pulling how are you supposed to rock your weight
rock from front leg to back leg while pulling
Before moving or positioning a client what does a nurse need to access
clients physical abilities
ability to understand and follow instructions
degree of comfort or discomfort while moving
clients weight and size
availability of equipment and people to assist
what angle is low fowlers
15-30 degrees
What angle is semi fowlers
30-45 degrees
what angle is standard fowlers
45-60 degrees
what angle is high fowlers
60-90 degrees
What should you never use a soaker pad for
lifting or transferring a client
when a stroke patient is laying on their back where do you place pillows
place pillows to support the
-Head
-Affected arm and shoulder
-
when a stroke patient is sitting in fowlers position where do you place the pillows
Place them wherever is best to stop the client from leaning to the affected side
when a patient is laying on their affected side where should a nurse place the pillows
under the affected arm in a way that it stops them from laying on their shoulder and then place under the unaffected leg
when a patient is laying on the unaffected side where should a nurse place the pillows
under the affected leg and arm
if a stroke patient who was weak on the left side was sitting on the edge of the bed and about to get into a wheel chair on which side would you put the wheel chair
put it on the right side since movement for a stroke patient should always occur towards the clients strong side
what are the three movements to avoid after a hip surgery
-Don’t bend the hip more than 90 degrees (ie no bending over to pick stuff up, no low toilet seats)
-Don’t cross legs or bring the affected leg across the midline of the body
-Don’t rotate the hip joint inwards
where should you place a pillow for a THA client when they are laying supine
place a pillow between their legs to keep legs slightly abducted from the midline
should a THA client get out of bed on the affected or unaffected side
ALWAYS get out of bed on the affected side
when a THA client is walking which leg should they move first
move the affected leg first and then the unaffected leg
What are two things that you should do before moving or transferring a client
POCRA
Patient mobility assessment
what are the four aspects of a POCRA
Patient
environment
task
worker
what is within a students scope when it comes to lifts and transfers
must be directly observed by qualified personal until the student is deemed competent
should the label be on the inside or outside of sling
outside
what mobility factor must a person have to use a hygiene sling
the must have upper trunk strength