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
What actions by the nurse would facilitate cooperation from a client with dementia when assisting them from bed to chair? (Select all that apply)
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How should the nurse position a client 80 years of age with dysphagia to introduce minced and pureed food?
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What is a benefit of regular exercise over time?
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When assessing correct body alignment while the client is standing, which findings would be abnormal? (Select all that apply)
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Which type of mobility aid would be most appropriate for a client who has poor balance?
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In which position should a newborn infant sleep to reduce the incidence of sudden infant death syndrome (SIDS)?
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Back injuries can occur when repositioning cooperative clients.
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How does the Trendelenburg position help a client with a leg fracture?
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What action is a guideline for using proper body mechanics to move a client up in bed?
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Which assistive technique should be included in the plan of care to increase functional ability with a client?
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What should the nurse monitor for a client in the (protective) prone position?
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Why is a transfer board used when transferring a client from bed to a stretcher?
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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)
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What should a nurse do to prevent the occurrence of footdrop in an immobile client?
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Where should the frame of a powered full-body sling lift be positioned when moving a client from bed to a wheelchair?
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What advice should the nurse give to a clerical assistant to minimize damage to his musculoskeletal system? (Select all that apply)
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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.
