Nokea
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.
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The purpose of dangling is to:
- A. check for changes in vital signs with position changes.
- B. determine the patient's response to being suspended in a lift.
- C. place the patient in position so that he or she will be in the center of the bed after being turned.
- D. determine the patient's ability to bear weight on both legs during a transfer.
- E. determine if it is safe for the patient to ambulate or transfer.
Correct Answer: A,C,E
Rationale: Dangling assesses vital signs changes, prevents syncope, and determines safety for ambulation or transfer.
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.
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.
The purpose of the Handle With Care campaign, which is supported by the ANA, is to:
- A. require all hospitals to install ceiling lifts for every patient.
- B. increase awareness of musculoskeletal injuries to nurses and establish a fund for their care.
- C. compile research about the types and frequency of injuries that occur to nurses during their working life.
- D. prevent injuries to nurses by increasing the use of assistive devices for moving and lifting patients.
Correct Answer: D
Rationale: The Handle With Care campaign aims to reduce nurses' musculoskeletal injuries through increased use of assistive devices.
The ideal method for transferring a patient includes which of the following steps?
- A. Assessing the situation and the environment
- B. Ensuring that one of the transfer team members is a strong male
- C. Properly using transfer or lift devices
- D. Using the appropriate number of staff members
- E. Explaining the procedure to the patient
Correct Answer: A,C,D,E
Rationale: Assessing the environment, using transfer devices, adequate staffing, and explaining the procedure ensure a safe transfer.