Test 2--Chapter 17 Moving and Transfers

Question 1

Your book mentions two OSHA recommendations for reducing work related injuries. What are they?

Answer 1

Manual lifting be minimized in all cases
Manual lifting be eliminated when possible

Question 2

For whom should a mechanical lift or the assist device be used?

Answer 2

• •Tall or heavy persons
• •Totally dependent persons
• •Persons requiring extensive assistance
• •Older persons
• •Persons with arthritis
• •Persons recovering from spinal cord injuries or spinal cord surgery

Question 3

What are three concerns when assisting people with dementia?

Answer 3

• Not understand what you are doing
• Resist your handling, moving, and transfer efforts
• Shout at you, grab you, or try to hit you

Question 4

What are the safety measures to take to provide safe care for persons with dementia?

Answer 4

• Always get a co-worker to help you.
• Do not force the person.
• Proceed slowly and use a calm, pleasant voice.
• Divert the person’s attention.
• Tell the nurse at once if you have problems handling, moving, or transferring the person.

Question 5

What is needed when moving a person under 200 pounds?

Answer 5

˜two to three staff members and a friction-reducing device are needed.

Question 6

What is needed when moving a person over 200 pounds?

Answer 6

˜at least three staff members and a friction-reducing device are needed.

Question 7

How do you reduce friction when moving a person in bed?

Answer 7

• Rolling the person
• Using a lift sheet (turning sheet)
• Using a turning pad, a large incontinence product, slide board, or slide sheet

Question 8

How do you safely move a person’s head and shoulders in bed?

Answer 8

• You can raise the person’s head and shoulders easily and safely by locking arms with the person.
• It is best to have help with older persons and with those who are heavy or hard to move.

Question 9

What are the advantages of using an assist device to move someone up in bed?

Answer 9

• the person is moved more easily and more evenly.
• shearing and friction are reduced, helping to prevent pain and skin damage.
• prevent injury to bones, joints, and the spinal cord.

Question 10

What should you do after you have positioned a person side lying?

Answer 10

• Use pillows to support the person in the side-lying position.
• Make sure the person’s face, nose, and mouth are not obstructed by a pillow or other device.

Question 11

Logrolling

Answer 11

˜turning the person as a unit, in alignment, with one motion.

Question 12

Who should be turned using the logrolling technique?

Answer 12

• Older persons with arthritic spines or knees
• Persons recovering from hip fractures
• Persons with spinal cord injuries
• Persons recovering from spinal surgery

Question 13

What is orthostatic hypotension?

Answer 13

• sudden drop in blood pressure
• become dizzy or faint when getting out of bed too fast

Question 14

Why would a person need to sit on the side of the bed (dangling) before standing up?

Answer 14

• orthostatic hypotension

Question 15

When are mechanical lifts used?

Answer 15

• To transfer persons who
  
  • †Cannot help themselves.
  • †Are too heavy for the staff to transfer.

Question 16

When choosing the type of sling used for transfers, what factors should be considered?

Answer 16

The person’s

• size
• condition
• other health needs

Question 17

There are two tools that may be used to transfer a person to and from the toilet. What are they?

Answer 17

• Mechanical lift
• Slide board

Question 18

A slideboard can be used to transfer to and from the toilet only if:

Answer 18

• The wheelchair armrests are removable.
• The person has upper body strength.
• The person has good sitting balance.
• There is enough room to position the wheelchair next to the toilet.

Question 19

For whom are stretchers used?

Answer 19

• Cannot sit up.
• Must stay in a lying position.
• Are seriously ill.

Question 20

What do you need to transfer a patient to a stretcher?

Answer 20

• A drawsheet, turning pad, large incontinence product, slide sheet, or slide board is used.
• At least two or three staff members are needed.

Question 21

What safety precautions should be used when a person is on a stretcher?

Answer 21

• Safety straps are used.
• The stretcher side rails are kept up during the transport.
• The stretcher is moved feet first.
• Never leave a person on a stretcher alone.

Question 22

Where should the back and buttocks be when a person is in a wheelchair?

Answer 22

against the back of the chair

Question 23

What should you do if a person in a wheelchair needs to be repositioned and cannot help?

Answer 23

use a mechanical lift