The LPN/LVN assists a patient into the semi-Fowler's position per health care provider order. What would indicate that this patient is in the correct position?
- A. Patient is leaning over the bedside table
- B. Head of bed is at a 30-degree angle
- C. Knee is drawn toward the chest
- D. Arms are flexed toward the head
Correct Answer: B
Rationale: The semi-Fowler's position is when the head of the bed is raised approximately 30 degrees. Orthopneic position is when the patient is leaning over the bedside table. Sims position is when the knee is drawn toward the chest. Arms are not flexed toward the head in the semi-Fowler's position.
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What implementation might the nurse use to improve safety during a transfer?
- A. Weighing the patient first
- B. Using a transfer belt
- C. Putting shoes on the patient
- D. Supporting a flaccid arm
Correct Answer: B
Rationale: As a general rule, the nurse should use a transfer belt.
How should the nurse assist the patient with moving when pain is anticipated?
- A. Be supportive.
- B. Apply heat before moving them.
- C. Administer medication before ambulation.
- D. Obtain assistance if the patient is heavy.
Correct Answer: C
Rationale: The nurse may want to administer medication before an activity that may be painful.
What profession has the highest workers' compensation claim rates of any occupation or industry?
- A. Firefighters
- B. Truck drivers
- C. Law enforcement
- D. Nursing personnel
Correct Answer: D
Rationale: Studies of workers' compensation claims show that nursing personnel have the highest claim rates of any occupation or industry.
The nurse is educating a patient on ways to regain the ability to perform ADLs and maintain normal physiologic activities. What will the nurse relay as a requirement?
- A. Strength
- B. Wellness
- C. Alertness
- D. Mobility
Correct Answer: D
Rationale: The purpose of mobility is completing ADLs and maintaining physiologic activities.
A newly hired group of graduate practical/vocational nurses are attending orientation at a long-term care facility. What information will be included regarding considerations of mobility and the older adult?
- A. The skin of older adults is more fragile and susceptible to injury.
- B. Always support older adults under the soft tissue when moving them in bed.
- C. Weakness and hypertension are common signs and symptoms noted in an older adult on bed rest.
- D. Aging tends to result in loss of flexibility and joint mobility.
- E. Older adults sometimes become fearful when hydraulic lifts are used for transfers.
Correct Answer: A,D,E
Rationale: The skin of older adults is more fragile and susceptible to injury. Aging tends to result in the loss of flexibility and joint mobility and older adults sometimes do become fearful with use of hydraulic lifts. Older adults should be supported under the joints when moving in bed. Weakness and hypotension are common signs and symptoms noted in an older adult on bed rest.
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