Mobility and Positioning Aids Quiz
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Questions and Answers

Which assistive device would the nurse include in the plan of care for a client with limited mobility who has outward rotation of the bony protrusions at the head of the femur?

Trochanter rolls

Which device will best mobilize respiratory secretions for a client with demobilized respiratory secretions?

Oscillating support bed

The use of a trapeze is contraindicated for a client with lifting restrictions.

True (A)

What actions by the nurse would facilitate cooperation from a client with dementia when assisting them from bed to chair? (Select all that apply)

<p>Call the client by the preferred name (A), Face the client when speaking (B), Provide instructions one at a time (C), Be positive in statements when providing instructions (D)</p> Signup and view all the answers

How should the nurse position a client 80 years of age with dysphagia to introduce minced and pureed food?

<p>Fowler's</p> Signup and view all the answers

What is a benefit of regular exercise over time?

<p>Decreased heart rate</p> Signup and view all the answers

When assessing correct body alignment while the client is standing, which findings would be abnormal? (Select all that apply)

<p>The knees are bent (B), The arms are bent at the elbows (C)</p> Signup and view all the answers

Which type of mobility aid would be most appropriate for a client who has poor balance?

<p>A cane with four prongs on the end (quad cane)</p> Signup and view all the answers

In which position should a newborn infant sleep to reduce the incidence of sudden infant death syndrome (SIDS)?

<p>Supine</p> Signup and view all the answers

Back injuries can occur when repositioning cooperative clients.

<p>False (B)</p> Signup and view all the answers

How does the Trendelenburg position help a client with a leg fracture?

<p>It prevents sliding down toward the foot of the bed.</p> Signup and view all the answers

What action is a guideline for using proper body mechanics to move a client up in bed?

<p>Face the direction of movement</p> Signup and view all the answers

Which assistive technique should be included in the plan of care to increase functional ability with a client?

<p>Trapeze bar</p> Signup and view all the answers

What should the nurse monitor for a client in the (protective) prone position?

<p>Plantar flexion of the feet</p> Signup and view all the answers

Why is a transfer board used when transferring a client from bed to a stretcher?

<p>To reduce friction as the client is pulled laterally onto the stretcher</p> Signup and view all the answers

In which situations should the nurse intervene while an unlicensed assistive personnel (UAP) places a client in the Fowler's position? (Select all that apply)

<p>The client's foot is in the plantar flexion position (B), There is a large pillow under the client's head (C), The knee gatch on the bed is engaged (D)</p> Signup and view all the answers

What should a nurse do to prevent the occurrence of footdrop in an immobile client?

<p>Place a slanting footrest at the foot of the bed to support the client's feet.</p> Signup and view all the answers

Where should the frame of a powered full-body sling lift be positioned when moving a client from bed to a wheelchair?

<p>Centered over the client</p> Signup and view all the answers

What advice should the nurse give to a clerical assistant to minimize damage to his musculoskeletal system? (Select all that apply)

<p>Adjust the height of the work area (A), Use a wide stance and lift with the large leg muscles (C), Face the direction of the activity he is performing (D)</p> Signup and view all the answers

Flashcards

Trochanter roll purpose

Stabilizes the femur, preventing outward leg rotation for clients with limited mobility.

Oscillating bed use

Mobilizes respiratory secretions by rocking the patient side to side.

Trapeze contraindication

Clients with lifting restrictions should not use a trapeze because it requires upper body strength.

Effective dementia communication

Use preferred name, face the client, and give instructions one at a time for better communication.

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Fowler's position benefit dysphagia

Improves swallowing and reduces aspiration risk for clients with dysphagia.

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Trendelenburg position purpose

Prevents sliding down the bed and aids in drainage of lung secretions.

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Newborn positioning for SIDS

Supine position is best for newborns to reduce the risk of sudden infant death syndrome (SIDS).

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Prone position foot support

Important to avoid plantar flexion, use proper foot support for clients in prone position.

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Exercise role in heart health

Regular exercise reduces heart rate, improves cardiovascular health and reduces blood clots.

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Proper body alignment standing

Straight arms and knees; not locked or bent, important for musculoskeletal balance.

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Transferring clients mechanics

Use proper body mechanics when transferring clients to prevent back injuries, especially with uncooperative patients.

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Quad cane stability

Provides maximum stability due to a wide base of support for clients with poor balance.

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Trapeze bar benefit

Encourages independence in bedridden clients by allowing more freedom of movement.

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Transfer board use

Minimizes friction when transferring clients for better efficiency and less physical workload.

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Fowler's position pillows avoid

Large pillows and knee gatch should be avoided in Fowler's position to prevent neck flexion contractures and ensure good circulation.

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Footdrop prevention in immobile

Use a slanting footrest or supportive devices to keep feet in a neutral position to avoid footdrop.

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Preventing heel pressure

Place pads under the ankles to alleviate pressure and prevent complications.

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Ergonomic workstation benefits

Adjust desk height, maintain proper stance, and lift with large muscle groups to prevent musculoskeletal damage.

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Study Notes

Mobility and Positioning Aids

  • Trochanter rolls prevent outward leg rotation for clients with limited mobility by stabilizing the femur position.
  • An oscillating support bed rocks the patient side to side, mobilizing respiratory secretions effectively.
  • A trapeze is contraindicated for clients with lifting restrictions, as it requires upper body strength.
  • For clients with dementia, effective communication strategies include using their preferred name, facing them, and providing instructions one at a time.

Client Positioning

  • Fowler's position is ideal for clients with dysphagia to enhance swallowing and reduce aspiration risk.
  • The Trendelenburg position prevents clients from sliding down the bed and aids drainage of lung secretions.
  • Supine position is recommended for newborns to lower the risk of sudden infant death syndrome (SIDS).
  • Risk of complications such as plantar flexion of the feet arises in clients kept in a prone position without proper foot support.

Preventing Injuries

  • Regular exercise helps decrease heart rate and improves cardiovascular health while reducing the risk of blood clots.
  • Correct body alignment when standing includes straight arms and knees not locked or bent to ensure musculoskeletal balance.
  • Back injuries can be avoided by using proper body mechanics during client transfers, especially when dealing with uncooperative patients.

Assistive Devices

  • Quad canes provide maximum stability for clients with poor balance due to their wide base of support.
  • The trapeze bar encourages independence for bedridden clients, allowing them to move more freely in bed.

Transferring Clients

  • Using a transfer board can minimize friction when moving clients from bed to stretcher, easing the physical workload.
  • In Fowler's position, large pillows and knee gatch on the bed should be avoided to prevent neck flexion contracture and ensure good circulation.

Supporting Foot and Leg Health

  • To prevent footdrop in immobile clients, use a slanting footrest or supportive devices to keep feet in a neutral position.
  • Proper positioning includes placing pads under the ankles to reduce heel pressure.

Ergonomic Workstation Practices

  • Adjusting desk height, maintaining an appropriate stance, and using large muscle groups for lifting can prevent musculoskeletal damage for clerical workers.

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Description

Test your knowledge on mobility and positioning aids commonly used in healthcare. This quiz covers techniques for client support, positioning strategies, and the implications of various positions on health outcomes. Ideal for nursing and medical students, as well as healthcare professionals.

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