Pactice NCLEX questions on mobility Leave the first rating Students also studied Terms in this set (19) Science MedicineNursing Save Mobility Practice for NCLEX Questio...15 terms lizzyohmesPreview Emergency Triage Practice Question...65 terms courtney_spangler5 Preview Body mechanics and patient mobilit...20 terms angeles_noriega Preview NCLEX 25 terms nur The nurse is assigned to care for an 82 yr old patient who weighs 252 lbs and has undergone a bilateral BKA. Which transfer method is the safest for the patient and the nurse?
- Log-rolling
- Using two nurses to lift
- A mechanical lift with a sling
- A gurney Lift
- A mechanical life with a sling
- Support her while she is falling and allow her to sit on
- tell her to hold onto the wall and that you will get more
- Carefully attempt to return her to her room
- Ask her to take a deep breath and look straight ahead
- support her while she is falling and allow her to sit on the floor
The nurse helps ambulate an 84 yr old female patient who has peripheral vascular disease that caused a sever stasis ulcer. The patient becomes very weak and reports felling faint, and begins to fall. What is the most appropriate action to prevent injury to the patient?
the floor
assistance
A 56 yr old patient has an open cholecystectomy. The nurse is going to assist the patient with dangling on the side of the bed before ambulation. After sitting him on the edge of the bed, which nursing intervention should the nurse perform before proceeding with ambulation?
- measurement of his temp
- assess his pulse and respirations
- perfomrance of an oximetry check
- removal of antiembolism stockings
- assess his pulse and respirations
- The nurse lowers the body by flexing the knees and
- The nurse bends from the waist and hips
- The nurse flexes the knees and bends at the waist
- The nurse keeps the legs straight and flexes the waist
- The nurse lowers the body by flexing the knees and bending the hips
- use of back muscles
- use the large muscles across the scapula
- exert less physical effort
- use the gluteal muscles
- exert less physical effort
- Maintain the patient's comfort
- Ensuring the patient's proper body alignment
- Keeping the pt in the desired position for atleast 2
- Preventing the pt from development of contractures
- Ensuring the pts proper body alignment
- dorsal recumbent
- lithotomy
- sims
- prone
- dorsal recumbent
The patient accidentally knocks the emesis basin to the floor. When picking up the emesis basin, which movement demonstrates proper body mechanics by the nurse?
bending the hips
A 72 year old pt with a stroke has slid to the foot of the bed. With use of appropriate body mechanics, the nurse maintains a wide base of support and faces the pt in the direction of movement. What do these actions allow the nurse to do?
An 82 yr old pt has had a cerebrovascular accident that affects her right side. The nurse repositions the pt to her left side, placing a pillow between her legs, and another to her back. What is the primary purpose of this intervention?
hours
It is the pts first night after an abdominal hysterectomy.She has not voided for 9 hrs, and the nurse is to insert a 16 Fr Foley catheter into her bladder. What patient position best allows insertion of the catheter?
The nurse is assigned to care for a 64 yr old pt who was admitted for exacerbation of COPD and pneumonia .He has dyspnea and is unable to rest in a supine position. The nurse elevates the HOB to 90 degrees, places a pillow on the overbed table, and assists the pt to lean forward, placing his head on the pillow. What position should the nurse document the pt being in?
- Semi Fowlers
- Dorsal
- Sims
- Orthopneic
- Orthopneic
- "Log rolling will help you keep your hips slightly flexed
- "By having you dangle your legs at the bedside, you
- "Because of your injury, it is extremely important that
- " It is important to keep you neck and spine in straight
- " It is important to keep you neck and spine in straight alignment while we help
- Move the pt to the side of the bed
- Ensure that the upper arm and leg are supported with
- Explain to the pt what actions the nurse and UAP are
- Turn the pt with use of a lift sheet
- Explain to the pt what actions the nurse and UAP are going to perform
- hrs and tells the nurse that she is too uncomfortable to
- The nurse should express concern that she is
- The nurse should assess the pts need for pain
- The nurse should explain tot he patient that if she does
- The nurse should find another nurse to help move the
- The nurse should assess the pts need for pain medication before helping her
The nurse explains to the pt that the log rolling technique will be used to help the pt change position. The pt asks why this is necessary. Which response would be accurate?
toward your chest"
will be more comfortable."
the HOB remain up at all times."
alignment while we help you move onto your side."
you move onto your side." The nurse and a UAP are to move a dependent pt from the supine to the lateral position. Which action should be performed first?
pillows
going to perform
An older adult pt has been lying in the supine position for
move right now. What is the best response by the nurse?
uncomfortable and promise to come back later
medication before helping her change position.
not move now, she will develop pneumonia
pt to the lateral position immediately
change position.
The student nurse demonstrated principles of good body mechanics with which activity?
- Keeping the knees in a locked position
- Maintaining a wide base of support and bending at the
- Bending at the waist to maintain on's balance
- Holding objects away from the body for improved
- Maintaining a wide base of support and bending at the knees
- The nurse should call for assistance
- The nurse should lay the pt straight back and support
- The nurse should allow the pt to lower the head to rest
- The nurse should find an emesis basin because pt will
- The nurse should continue to assist the pt to a standing
- The nurse should call for assistance
- The nurse should lay the pt straight back and support the head
- Trapeze Bar
- Trochanter oil
- Hand rolls
- Footboard
- Trapeze Bar
- Supine
- Lateral
- Prone
- Fowlers
- Prone
- have family members present
- have pt wear well fitting nonskid shoes or slippers
- have at least two people present to assist the pt
- be sure no pain med was given for at least 3 hours
- use a gait belt when assisting the pt to stand and to
- have pt wear well fitting nonskid shoes or slippers
- have at least two people present to assist the pt
- use a gait belt when assisting the pt to stand and to ambulate
knees
leverage
A pt becomes faint while sitting on the side of the bed. To prevent injury to the pt and nurse, which action should the nurse take? (select all that apply)
the head
on the nurse's abd
probably vomit
position, looking forward and taking deep breaths
Which assistive devices allows pts to pull with the upper extremities to raise their trunk off the bed, to assist in transfer from bed to wheelchair, and to perform upper arm exercises?
IN which position is the pt lying face down or chest down?
What is a necessary safety precaution when helping a pt who has an unsteady gait to ambulate?
before ambulation
ambulate