CNA 4.2.4 DANGLING EXAM QUESTIONS

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CNA 4.2.4 (DANGLING) EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -4 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Orthostatic hypotension

Answer:

Orthostatic hypotension is a sudden drop in blood pressure that occurs when a person moves quickly from one position to another position. For example, orthostatic hypotension may occur when a patient who has been lying for a long time is moved to a sitting or standing position. Symptoms include dizziness, blurred vision, and even syncope, or loss of consciousness. If this occurs, the patient may fall, causing injury to the patient.

Question 2: Dangling

Answer:

Dangling is a sitting position on the side of the bed. Dangling allows a patient who has been lying for a long period of time to adjust to an upright position. This procedure is used as a progressive step between lying and walking. In addition, dangling is also used as a form of exercise for bed-ridden patients.

Question 3: Orthostatic hypotension and dangling

Answer:

To reduce the effects of orthostatic hypotension, health care workers must take special precautions when assisting a patient to the dangling position. Patients must be moved slowly and gently. Health care workers must observe all changes in the patient's condition.It is important to check the pulse and respirations of a patient before, during, and after dangling. If the pulse rate changes drastically or if the patient becomes dizzy or has difficulty breathing, the patient

should be returned to a lying position. Once dizziness has passed, check the patient's pulse and blood pressure before attempting to move the patient into a dangling position again.

Question 4: Procedure for dangling

Answer:

• Cleanse your hands.
• Knock on the door before entering the room.
• Address the patient by name and introduce yourself.
• Identify the patient by checking the identification bracelet.
• Explain the procedure to the patient.
• Provide the patient with privacy.

- Prepare the bed:

• Make sure the bed wheels are locked.
• Raise the head of the bed to a sitting position, about a 90° angle.
• If side rails are used, lower them on the side of the bed nearest to you.
• Check the patient's pulse and respiration.
• Place a protector pad under the patient's feet. Then, put non-skid shoes or slippers on the patient.
• Slide your arm behind the patient's neck and shoulders, and grasp the far shoulder.
• Place your other arm around the patient's knees.
• Slowly rotate the patient into a sitting position at the side of the bed.
• Ask the patient to hold onto the edge of the mattress to stay balanced. If needed, provide support by

placing one hand on the patient's shoulder and one hand on the patient's thigh.

- Check the patient's condition:

• Ask if the patient feels light-headed or dizzy.
• Check pulse and respiration.
• Listen for difficulty in breathing.
• Notice if the skin has changed color.

- Proceed as follows:

• If the patient does not respond well, help the patient lie down until they feel better. Then check pulse

and blood pressure before attempting to assist the patient again.

• If the patient feels well, have the patient stretch and flex the legs to stimulate circulation.
• If the patient must be transferred, proceed with the transfer.
• Position the patient appropriately in the bed, chair, or wheelchair.
• Check the patient's pulse and respiration.
• Check that the patient is comfortable and safe.
• Place the call signal within the patient's reach.
• Cleanse your hands.
• Report all actions taken and any observations.