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A patient is returning to your unit from surgery. What assistive device would you place in the room prior to the patient's return?
- A. Slide sheet
- B. Transfer board
- C. Mechanical lift
- D. Gait belt
Correct Answer: C
Rationale: A mechanical lift ensures safe transfers for a post-surgical patient with potential weakness.
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Which position will you use for a patient in severe respiratory distress?
- A. Lithotomy
- B. Dorsal recumbent
- C. Orthopneic
- D. Semi-Fowler's
Correct Answer: C
Rationale: The orthopneic position maximizes chest expansion, aiding breathing in severe respiratory distress.
When you assist a patient to a left lateral position, where will you place the additional pillows?
- A. Under the knees
- B. Between the knees and ankles and at the back
- C. At the right lateral thigh
- D. At the soles of the feet and at the back
Correct Answer: B
Rationale: Pillows between knees and ankles and at the back maintain alignment and comfort in the left lateral position.
Which assistive device would you use after a patient had fallen to help him or her return to bed?
- A. A slide board
- B. A slide sheet
- C. A transfer belt
- D. A battery-operated lift
Correct Answer: D
Rationale: A battery-operated lift safely assists a fallen patient back to bed, minimizing injury risk.
What common linen item might you use to manually transfer a weak patient who is unable to help move herself from a bed to a stretcher if no assistive devices are available?
- A. Pillowcase
- B. Draw sheet
- C. Blanket
- D. Towel
Correct Answer: B
Rationale: A draw sheet, placed under the patient, facilitates manual transfers by reducing friction.
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.
Correct Answer: C
Rationale: Assessing transfer abilities with assistance ensures safety, as the patient's capabilities are unknown.