Nokea
The nurse counsels the immobilized patient in regard to prevention of muscle atrophy and contractures. What will the nurse be sure to include when counseling this patient?
- A. The need for additional calcium
- B. The need for additional protein
- C. The need for some type of exercise
- D. The need for a special protective bed
Correct Answer: C
Rationale: The immobilized patient must receive some type of exercise to prevent atrophy and contractures.
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A nurse instructs an unlicensed assistive personnel about moving older adult patients in bed. When should the nurse intervene when observing the unlicensed assistive personnel perform a return demonstration?
- A. The unlicensed assistive personnel is using simple language.
- B. The unlicensed assistive personnel is avoiding jerky movements.
- C. The unlicensed assistive personnel is avoiding sudden movements.
- D. The unlicensed assistive personnel is pulling the patient across bed linens.
Correct Answer: D
Rationale: The skin of older adults is more fragile and susceptible to injury. When moving or transferring older adults, it is essential to avoid pulling them across bed linens because this may cause shearing or tearing of the skin. The nurse should explain each step in simple language and avoid jerky, sudden movements.
What is the site of the most common strain injury acquired by the nurse when working?
- A. Trapezius muscle group
- B. Thoracic muscle group
- C. Lumbar muscle group
- D. Thigh muscle group
Correct Answer: C
Rationale: The most common back injury is strain of the lumbar muscle group.
To maintain a wide base of support the nurse should stand with the feet separated by the distance of ____ width apart.
Correct Answer: shoulder
Rationale: Actions to promote proper body mechanics include positioning feet shoulder width apart to create a wide base of support.
The most common cause of musculoskeletal disorders in nurses involves a movement that requires the nurse to ____ and lift at the same time.
Correct Answer: twist
Rationale: The motion of twisting and lifting at the same time frequently strains the muscles of the lower back.
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.