Quiz#2 Flashcards
56.8kg patient needs to be moved from bed to stretcher. What is the best way to make it more comfortable for patient and safer for staff?
Use a slider board
What situation would you NOT use elastic stockings on a resident.
Recent skin graft to the lower leg
Client c/o not feeling well but would still like a bath. What type would be given?
Partial bath
Client is on a turning schedule every 2 hours, changed at 0200 hours on to left side. Return at 0400 hrs, notice bed is wet. Do you still change client and reposition?
Yes, and if the client wakes up explain the reason for what you doing
Nurse is providing personal care to a client with diabetes, how do you care for their toenails?
Use an emery board to reduce snags and uneven edges
Nurse is teaching ROM to a client for the shoulder, for abduction how high is the client taught to raise the arm?
180 degrees
How can you prevent injury to your back when lifting a client?
Avoid twisting
Know why we wash client’s limbs from distal to proximal?
Promote venous return
A fall is often the result of which cumulative risks.
Intrinsic and extrinsic factors
Know what the procedure is when walking with a client that starts to fall.
Keep the patient close to the nurse’s body and lower the patient to the floor
Client has been on prolonged bed rest, what should the nurse do first before transferring him/ her to a chair?
Allow the patient to dangle at the side of the bed for a few minutes
How can you maintain medical asepsis technique while making a bed?
Performing hand hygiene before and after bed making
What are transfer devices are used for?
When client is unable to move or reposition independently
To lessen the strain on staff when mobilizing a client
To reduce integument system damage
When performing mouth care on an unconscious client, what position should they be put in?
Side-lying
What does immobility cause?
Increase in fluid redistribution in the body, orthostatic hypotension, pressure ulcers
