Patient Transfer Techniques

Questions and Answers

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?

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?

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?

The floor must be dry. Signup and view all the answers

What is the first step in the transfer process?

Stand close to the patient and place your foot between the patient's legs. Signup and view all the answers

What part of the patient’s body should you grip while using a transfer belt?

The transfer belt around the patient's waist. Signup and view all the answers

Which footwear should both the caregiver and patient avoid while transferring?

Slippery footwear. Signup and view all the answers

What action should you NOT take during a patient transfer?

Overreach to grab the patient. Signup and view all the answers

What should be checked in acute care regarding footwear?

Prescriber’s orders for activity restrictions Signup and view all the answers

What is the correct elbow position when using a walker?

Flexed at 15-30 degrees Signup and view all the answers

What should a patient NOT do when using a walker?

Pull oneself up using the walker Signup and view all the answers

How should the walker height be measured for the patient?

To line up with the crease on the inside of the wrists while standing Signup and view all the answers

What is the first step in standing up from a sitting position using a walker?

Push up from the chair's armrest Signup and view all the answers

What is a characteristic of proper footwear for patients in care?

Non-slip or slip-resistant Signup and view all the answers

What should the patient do after pushing up to a standing position?

Grip the walker firmly and move it forward Signup and view all the answers

During ambulation, how should support be given to a patient?

With one hand on the patient's elbow Signup and view all the answers

What sequence should be followed when ascending stairs with crutches?

Strong leg – crutches – weak leg Signup and view all the answers

What is the correct cane height measurement?

From the greater trochanter to the floor Signup and view all the answers

Which of the following statements is true regarding proper footwear for ambulation?

Footwear should be slip-resistant or non-slip Signup and view all the answers

Why is it important to explain and demonstrate how to walk with crutches?

To prevent misuse and potential injuries Signup and view all the answers

What is a suggested benefit of using a handrail when ascending stairs?

It helps maintain balance Signup and view all the answers

What angle of flexion at the elbow should be allowed when measuring cane height?

15 to 30 degrees Signup and view all the answers

How can a patient reduce their risk of falls during ambulation?

By receiving proper instruction and being informed Signup and view all the answers

What is the first step when assisting a patient to get to a standing position?

Encourage them to grasp their cane Signup and view all the answers

What should be done before stepping forward with the injured or weak leg?

Confirm that all four feet of the walker are in contact with the floor Signup and view all the answers

When should two employees assist in ambulating a patient?

When the patient shows signs of confusion or instability Signup and view all the answers

What is the average number of times older adults may awaken during the night?

5 to 6 times Signup and view all the answers

What advice should be given to patients when they ambulate using a walker?

Look forward instead of down Signup and view all the answers

Which of the following factors can influence the quality of sleep in older adults?

Diet and emotional stress Signup and view all the answers

In what order should a patient step while ambulating with a walker?

Weak leg, strong leg Signup and view all the answers

What should be avoided when turning while using a walker?

Twisting the knee joint Signup and view all the answers

What percentage of the glomerular filtrate is typically excreted as urine?

1% Signup and view all the answers

How many milliliters of blood pass through the kidneys every minute in the average adult?

1,200 mL Signup and view all the answers

What is a critical aspect of the patient's position when standing with a walker?

Patient should feel stable before moving Signup and view all the answers

What is the role of the transfer belt during the ambulation process?

To help grasp the patient securely Signup and view all the answers

Which urinary output indicates possible circulatory, blood volume, or renal alterations?

Less than 30 mL/hr Signup and view all the answers

Which step is crucial when a patient turns while using a walker?

Moving the walker before moving the legs Signup and view all the answers

What role do the kidneys play in the body's balance?

They regulate fluid and acid-base balance Signup and view all the answers

Which body system is primarily affected by the quality of sleep?

Nervous system Signup and view all the answers

Which of the following is NOT a common factor affecting sleep?

Presence of daylight Signup and view all the answers

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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Description

This quiz focuses on the techniques and best practices for transferring patients using a transfer belt. Understand how to adjust the bed height and properly support the patient for safe transfers. Ideal for caregivers and nursing students.