Nokea
The nurse instructs an unlicensed assistive personnel to use large muscle groups when lifting. What is the rationale for this instruction?
- A. Workers' compensation claims will be prevented.
- B. Big muscles work more effectively.
- C. It guarantees no muscle strain.
- D. It distributes workload more evenly.
Correct Answer: D
Rationale: Proper body mechanics provide for even distribution of workload.
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Continuous ____ motion machines flex and extend joints to mobilize them passively without the strain of active exercises.
Correct Answer: passive
Rationale: Continuous passive motion (CPM) machines flex and extend joints to mobilize them passively without the strain of active exercises. It is imperative that the CPM machine be set according to the health care provider's orders for the degree and the speed of flexion and extension for each individual patient to prevent damage to the joint or surgical site.
The nurse is performing passive range of motion (ROM) for the patient. How will the nurse move the joint through ROM?
- A. The fullest extent.
- B. Place the joint in normal position.
- C. The point of pain.
- D. Relax the patient.
Correct Answer: C
Rationale: The joints are moved to the point of resistance or pain.
The 125-lb nurse is preparing to lift a heavy object. What is the maximum amount of weight considered safe for the nurse to lift?
- A. 75 lb
- B. 50 lb
- C. 100 lb
- D. 125 lb
Correct Answer: B
Rationale: The suggested maximum weight considered safe to lift by a single person is 50 lb.
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 nurse receives a patient from the recovery room following total hip replacement surgery. What will the nurse include when assessing neurovascular status on this patient?
- A. Pupils
- B. Pain
- C. Sensation
- D. Color
- E. Skin temperature
Correct Answer: B,C,D,E
Rationale: One of the responsibilities of the nurse is to frequently monitor the patient's neurovascular function, or circulation, movement, and sensation (CMS) assessment. The LPN/LVN checks for skin color, temperature, movement, sensation, pulses, capillary refill, and pain. Pupil assessment is part of a neurologic assessment.