Podcast
Questions and Answers
What should you do if the transfer belt has loops while assisting a patient?
What should you do if the transfer belt has loops while assisting a patient?
- Only hold onto the transfer belt itself.
- Remove the leg rests before the transfer.
- Hold the loops and support the patient's arm nearest to the bed. (correct)
- Adjust the bed height to the patient's knees.
For whom is a transfer belt typically recommended?
For whom is a transfer belt typically recommended?
- Patients who are unable to stand.
- Patients who can partially support their own weight but need assistance. (correct)
- Patients who can fully support their weight.
- Patients who do not require any help with movement.
When preparing to transfer a patient, what is important regarding the bed height?
When preparing to transfer a patient, what is important regarding the bed height?
- The bed should be adjusted to a height that is equal to your waist.
- The bed should be as low as possible.
- The patient's hips should be slightly above their knees. (correct)
- The patient's hips should be lower than their knees.
What should you ensure about the floor before performing a transfer?
What should you ensure about the floor before performing a transfer?
What is the first step in the transfer process?
What is the first step in the transfer process?
What part of the patient’s body should you grip while using a transfer belt?
What part of the patient’s body should you grip while using a transfer belt?
Which footwear should both the caregiver and patient avoid while transferring?
Which footwear should both the caregiver and patient avoid while transferring?
What action should you NOT take during a patient transfer?
What action should you NOT take during a patient transfer?
What should be checked in acute care regarding footwear?
What should be checked in acute care regarding footwear?
What is the correct elbow position when using a walker?
What is the correct elbow position when using a walker?
What should a patient NOT do when using a walker?
What should a patient NOT do when using a walker?
How should the walker height be measured for the patient?
How should the walker height be measured for the patient?
What is the first step in standing up from a sitting position using a walker?
What is the first step in standing up from a sitting position using a walker?
What is a characteristic of proper footwear for patients in care?
What is a characteristic of proper footwear for patients in care?
What should the patient do after pushing up to a standing position?
What should the patient do after pushing up to a standing position?
During ambulation, how should support be given to a patient?
During ambulation, how should support be given to a patient?
What sequence should be followed when ascending stairs with crutches?
What sequence should be followed when ascending stairs with crutches?
What is the correct cane height measurement?
What is the correct cane height measurement?
Which of the following statements is true regarding proper footwear for ambulation?
Which of the following statements is true regarding proper footwear for ambulation?
Why is it important to explain and demonstrate how to walk with crutches?
Why is it important to explain and demonstrate how to walk with crutches?
What is a suggested benefit of using a handrail when ascending stairs?
What is a suggested benefit of using a handrail when ascending stairs?
What angle of flexion at the elbow should be allowed when measuring cane height?
What angle of flexion at the elbow should be allowed when measuring cane height?
How can a patient reduce their risk of falls during ambulation?
How can a patient reduce their risk of falls during ambulation?
What is the first step when assisting a patient to get to a standing position?
What is the first step when assisting a patient to get to a standing position?
What should be done before stepping forward with the injured or weak leg?
What should be done before stepping forward with the injured or weak leg?
When should two employees assist in ambulating a patient?
When should two employees assist in ambulating a patient?
What is the average number of times older adults may awaken during the night?
What is the average number of times older adults may awaken during the night?
What advice should be given to patients when they ambulate using a walker?
What advice should be given to patients when they ambulate using a walker?
Which of the following factors can influence the quality of sleep in older adults?
Which of the following factors can influence the quality of sleep in older adults?
In what order should a patient step while ambulating with a walker?
In what order should a patient step while ambulating with a walker?
What should be avoided when turning while using a walker?
What should be avoided when turning while using a walker?
What percentage of the glomerular filtrate is typically excreted as urine?
What percentage of the glomerular filtrate is typically excreted as urine?
How many milliliters of blood pass through the kidneys every minute in the average adult?
How many milliliters of blood pass through the kidneys every minute in the average adult?
What is a critical aspect of the patient's position when standing with a walker?
What is a critical aspect of the patient's position when standing with a walker?
What is the role of the transfer belt during the ambulation process?
What is the role of the transfer belt during the ambulation process?
Which urinary output indicates possible circulatory, blood volume, or renal alterations?
Which urinary output indicates possible circulatory, blood volume, or renal alterations?
Which step is crucial when a patient turns while using a walker?
Which step is crucial when a patient turns while using a walker?
What role do the kidneys play in the body's balance?
What role do the kidneys play in the body's balance?
Which body system is primarily affected by the quality of sleep?
Which body system is primarily affected by the quality of sleep?
Which of the following is NOT a common factor affecting sleep?
Which of the following is NOT a common factor affecting sleep?
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Study Notes
Transfer Belt Usage
- Transfer belts provide a secure way to assist patients who can partially support their own weight during transfer.
- In case of belts with loops, hold the loops for better support; otherwise, grip the belt directly.
- Adjust bed height to align patient's hips slightly above knees, ensuring feet are flat on the floor.
- Ensure the floor is dry, and both caregiver and patient wear non-slip footwear.
- During transfer, stand close to the patient, place your foot between their legs, and grip the transfer belt securely.
Walker Instructions
- Measure walker height to align with the patient's wrist crease, ensuring 15-30 degrees elbow flexion when standing inside.
- Instruct patients not to use the walker for pulling themselves up due to its instability.
- Demonstrate proper use of the walker: grip both sides, move it forward, and step with the injured leg first, followed by the stronger leg.
- Advise patients to keep feet within the walker's base and look forward while walking.
Crutches Guidance
- Correct cane height is from the greater trochanter to the floor, with 15-30 degrees flexion at the elbow.
- Instruct patients to step through with the good leg when using crutches and to maintain balance.
- For stair climbing: the sequence is strong leg followed by weak leg and crutches. Use handrails for support when available.
Factors Affecting Sleep
- Various factors such as lifestyle, emotional stress, stimulants, diet, smoking, and motivation affect both sleep quality and quantity.
- Average adults may wake up 5-6 times a night, impacting their mood and alertness.
Kidney Function
- Kidneys are paired organs located behind the peritoneal cavity, with the right kidney positioned slightly lower than the left.
- Each kidney filters approximately 1,200 mL of blood per minute, affecting fluid and electrolyte balance in the body.
- Functional units, the nephrons, filter blood and recover about 99% of glomerular filtrate, excreting only 1% as urine.
- Normal adult urine output ranges from 1,200 to 1,500 mL/day; outputs below 30 mL/hr may indicate health issues.
Common Sleep Disorders
- Insomnia is characterized by difficulty in falling asleep or staying asleep, leading to reduced restfulness.
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