Safe Patient Handling & Fall Risk Assessment

Question 1

3 assessment for safe patient handling

Answer 1

assess the room for fall risk
assess the patient’s ability to assist with moving
establish weight-bearing status

Question 2

3 common symptoms during transfer out of bed

Answer 2

Weakness
Dizziness
Low blood pressure

Question 3

4 assistive devices

Answer 3

Crutches
Walker
Wheelchair
Scooter

Question 4

a transfer equipment for patients who cannot bear weight or who is uncooperative

Answer 4

Mechanical lift

Question 5

a transfer equipment that has frictionless slide across bed to stretcher; can use a pull sheet

Answer 5

transfer board

Question 6

a transfer equipment that maintains stability of patient during transfer; movement of patient at centre of gravity

Answer 6

Transfer Belt (Gait)

Question 7

Ability to move at the joint.

Answer 7

Range of motion

Question 8

Importance of movement for Cardiovascular system

Answer 8

Increased Cardiac Output
Decreased resting heart rate
Increased perfusion to the rest of the body

Question 9

Importance of movement for metabolic and musculoskeletal system

Answer 9

Increases range of motion
Increased basal metabolic rate
Increases gastric mobility
Increased production of body heat
Increased muscle tone
Increased joint mobility
Reduced bone loss with increase in muscle mass

Question 10

Importance of movement for pulmonary system.

Answer 10

Increase oxygen demand
Increased alveolar ventilation
Alveolar strength and flexibility
Decreas risk of atelectsis

Question 11

Nursing Intervention for deconditioning syndrome via circulatory

Answer 11

6 P’s
Compression stockings
Passive range of motion
CSM

Question 12

Nursing Intervention for deconditioning syndrome via musculoskeletal

Answer 12

Isotonic/isometric exercises,
passive ROM

Question 13

Nursing Intervention for deconditioning syndrome via neurological

Answer 13

GCS
MSE
AxO x3

Question 14

Nursing Interventions for deconditioning syndrome via Gastrointestinal

Answer 14

IPAPS
Frequent abdominal assessment
Intake and output assessment
Bristol Stool Chart

Question 15

Nursing Interventions for deconditioning syndrome via integumentary

Answer 15

Braden Scale
Frequent assessment of posterior skin surfaces
Skin integrity
Repositioning every 2-3 hours
Frequent assessment of incontinence

Question 16

Nursing interventions for deconditioning syndrome via respiratory

Answer 16

Incentive spirometry and deep breathing and coughing exercises
Tripod positioning, high fowlers
Daily ambulation
Respiratory system

Question 17

Occurs when certain muscles and joints are not utilized for a long period of time

Answer 17

Deconditioning syndrome

Question 18

Refers to the relationship of one body part to another along a horizontal or vertical axis.

Answer 18

Body alignment

Question 19

The awareness of the position of the body and its parts.

Answer 19

Proprioception

Question 20

The measurement for crutches height

Answer 20

2-3 finger widths between the top of the crutch and axilla

Question 21

What contributes to the risk of falls in the hospital?

Answer 21

Bed rails not raised by 2
Bed not in lowered position
Call bell not within reach

Question 22

Whats the goal for Acute Phase of Care (Hospitalization)

Answer 22

Maintain joint mobility, prevent complications of immobility, and increase activity tolerance.

Question 23

Whats the Goal for Restorative Phase of Care (Chronic Illness)

Answer 23

Regain mobility, restore and promote optimal functioning

Question 24

Where weight is equally distributed/dispersed to maintain stability?

Answer 24

Centre of Gravity