Nursing Techniques for Mobility and Safe Transfer Quiz

Nursing Techniques for Mobility and Safe Transfer

• Pathological influences on mobility include postural abnormalities, impaired muscle development, direct trauma to the musculoskeletal system, damage to the central nervous system, congenital abnormalities, degenerative diseases, and episodic illnesses.
• Activity tolerance is the type and amount of exercise or activity an individual can perform, and nurses should assess for fatigue during activity and the client's ability to help.
• Functional decline is the loss of the ability to perform self-care or activities of daily living, which can be caused by illness or deconditioning associated with inactivity.
• Immobility is the inability to move freely, and nurses can decrease its effects through safe transfer techniques, body mechanics, ergonomics, and safe patient handling.
• Nurses should prepare the environment, consider the client's safety and body mechanics, and assess the client's condition prior to transferring them from bed to chair.
• Before transferring a client, nurses should assess the client's comprehension, mobility, contracture formation, muscle strength, presence of pain, vital signs, sensory and cognitive status, level of motivation, and previous mode of transfers.
• The process of transferring a client from bed to chair involves raising the side rail, elevating the bed to a comfortable height, assisting the client to a sitting position, and assessing correct body alignment.
• When assisting the client into a sitting position, nurses should flex hips and knees to align with the client's, and use an algorithm to transfer the client out of a stretcher.
• Nurses should evaluate the client's body alignment, tolerance, fatigue, and comfort with each transfer and assess for cues such as activity tolerance, coordination, balance, and motivation before assisting the client to walk.
• Walkers should be waist high, provide a wide base of support, and move forward with the affected leg first, then the unaffected leg.
• Canes should be used on the stronger side of the body, and the technique involves moving the cane forward, advancing the weaker leg, and repeating.
• When ambulating a client with hemiplegia/hemiparesis, nurses should stand at the client's affected side, support the client at the waist and around the upper arm, and use a gait belt for stability. If a client begins to fall, the nurse should provide support at the waist, assume a wide base of support, and protect the client's head.

Nursing Techniques for Mobility and Safe Transfer

• Pathological influences on mobility include postural abnormalities, impaired muscle development, direct trauma to the musculoskeletal system, damage to the central nervous system, congenital abnormalities, degenerative diseases, and episodic illnesses.
• Activity tolerance is the type and amount of exercise or activity an individual can perform, and nurses should assess for fatigue during activity and the client's ability to help.
• Functional decline is the loss of the ability to perform self-care or activities of daily living, which can be caused by illness or deconditioning associated with inactivity.
• Immobility is the inability to move freely, and nurses can decrease its effects through safe transfer techniques, body mechanics, ergonomics, and safe patient handling.
• Nurses should prepare the environment, consider the client's safety and body mechanics, and assess the client's condition prior to transferring them from bed to chair.
• Before transferring a client, nurses should assess the client's comprehension, mobility, contracture formation, muscle strength, presence of pain, vital signs, sensory and cognitive status, level of motivation, and previous mode of transfers.
• The process of transferring a client from bed to chair involves raising the side rail, elevating the bed to a comfortable height, assisting the client to a sitting position, and assessing correct body alignment.
• When assisting the client into a sitting position, nurses should flex hips and knees to align with the client's, and use an algorithm to transfer the client out of a stretcher.
• Nurses should evaluate the client's body alignment, tolerance, fatigue, and comfort with each transfer and assess for cues such as activity tolerance, coordination, balance, and motivation before assisting the client to walk.
• Walkers should be waist high, provide a wide base of support, and move forward with the affected leg first, then the unaffected leg.
• Canes should be used on the stronger side of the body, and the technique involves moving the cane forward, advancing the weaker leg, and repeating.
• When ambulating a client with hemiplegia/hemiparesis, nurses should stand at the client's affected side, support the client at the waist and around the upper arm, and use a gait belt for stability. If a client begins to fall, the nurse should provide support at the waist, assume a wide base of support, and protect the client's head.