Nokea
A male patient in the supine position is:
- A. lying flat on his back with legs extended and arms to the side.
- B. resting in bed with the head of bed elevated 45 degrees
- C. lying on his side with legs flexed
- D. resting in bed with the head of bed elevated 90 degrees
Correct Answer: A
Rationale: The supine position involves lying flat on the back, with legs extended and arms at the sides.
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Number the following steps for assisting a patient to dangle in the correct sequence.
- A. The patient becomes dizzy while dangling.
- B. Take the patient's vital signs and document.
- C. Raise the head of bed.
- D. Explain to the patient what you are going to do.
- E. Assist the patient to a resting position on the bed.
- F. Assist the patient to a dangling position.
Correct Answer: D,C,F,E,B,A
Rationale: The sequence is: explain (4), raise head (3), assist to dangle (9), patient dizzy (1), assist to rest (5), take vital signs (2), ensuring safety and monitoring.
For the safest patient transfer, which devices are the best to use?
- A. Transfer belt
- B. Wheelchair
- C. Webbed nylon sheets
- D. Stretcher
- E. Overhead ceiling lift
Correct Answer: A,C,E
Rationale: Transfer belts, nylon sheets, and ceiling lifts minimize manual lifting, enhancing safety during patient transfers.
Which of the following would not be considered a consequence of immobility affecting the musculoskeletal system?
- A. Decreased muscle strength
- B. Muscle atrophy
- C. Skin breakdown
- D. Contractures
- E. Pressure injuries
- F. Increased bone weakness
Correct Answer: C,E
Rationale: Skin breakdown and pressure injuries are integumentary complications, not musculoskeletal, whereas immobility affects muscle strength, atrophy, contractures, and bone weakening.
A nurse is caring for an obese 87-year-old patient with respiratory distress. The nurse understands the best position to place the patient in and selects the proper bed by which of the following positions?
- A. Semi-Fowler's position
- B. Prone position
- C. Sims' position
- D. Compella position
- E. Envella position
- F. High Fowler's position
Correct Answer: A,F
Rationale: Semi-Fowler's and High Fowler's positions facilitate breathing in respiratory distress by elevating the chest.
The nurse understands that the best supportive devices for pressure injuries are which of the following?
- A. Trochanter roll
- B. Foot splint
- C. Pillow
- D. Arm board
- E. Hand roll
Correct Answer: A,C,E
Rationale: Trochanter rolls, pillows, and hand rolls redistribute pressure to prevent pressure injuries.