Moving and Positioning Patients

Question 1 of 5

How can you be certain that the wheels of a stretcher are locked before transferring a patient?

A. Press the foot lock and announce loudly that the wheels are locked.

B. Physically attempt to move the stretcher, even if you have locked the wheels.

C. Bend down on one knee to ensure that the red lever is up and the green one is down.

D. Assign one person to hold the stretcher in place while the patient is transferred.

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Question 2 of 5

When you care for your assigned patient with paralysis of both legs, you are concerned about skin breakdown. Which nursing interventions would you use?

A. Reposition him every 4 hours while he is in bed.

B. Inspect bony prominences for redness every 2 hours. If found, massage around the area but not on it.

C. Dry skin thoroughly but gently after cleansing it with mild soap.

D. Pat bony prominences with fluffy towels to relieve pressure points.

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Question 3 of 5

A newly admitted patient with a diagnosis of right-sided weakness resulting from cerebrovascular attack puts on her light and asks for assistance to the bathroom. You have not yet assessed this patient's transfer abilities. What will you do?

A. Ask the certified nursing assistant (CNA) assigned to the patient to carefully assist her to the bedside commode.

B. Tell the CNA that the patient has right-sided weakness but can transfer with minimal assistance.

C. Ask the CNA to accompany you and together transfer the patient to the bedside commode.

D. Ask the CNA to assist the patient with a bed pan until you have time to get an order for a lift for her.

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Question 4 of 5

You are concerned about the psychological effects of immobility on the patient you are caring for during your clinical experience. To help prevent psychological complications, you would avoid which of these interventions?

A. Encourage the patient to stay awake during the day and allow natural light into the room.

B. Encourage the patient to read, watch TV, solve puzzles, and interact with family and friends.

C. Encourage the patient to do as much as possible during his personal care.

D. Encourage the patient to look on the bright side and be glad that he is alive, even though he is paralyzed.

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Question 5 of 5

Why is it important to explain what you will be doing when you assist a patient with position changes?

A. The patient may be sedated or have an impaired level of consciousness.

B. The patient may have a preference about who performs repositioning.

C. The patient will be more cooperative with the position change.

D. The patient will be less likely to resist during the position change.

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