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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.
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Number the following steps for assisting a patient to dangle in the correct sequence.
- A. The patient becomes dizzy while dangling.
- B. Take the patient's vital signs and document.
- C. Raise the head of bed.
- D. Explain to the patient what you are going to do.
- E. Assist the patient to a resting position on the bed.
- F. Assist the patient to a dangling position.
Correct Answer: D,C,F,E,B,A
Rationale: The sequence is: explain (4), raise head (3), assist to dangle (9), patient dizzy (1), assist to rest (5), take vital signs (2), ensuring safety and monitoring.
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 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.
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.
Which of the following would not be considered a consequence of immobility affecting the musculoskeletal system?
- A. Decreased muscle strength
- B. Muscle atrophy
- C. Skin breakdown
- D. Contractures
- E. Pressure injuries
- F. Increased bone weakness
Correct Answer: C,E
Rationale: Skin breakdown and pressure injuries are integumentary complications, not musculoskeletal, whereas immobility affects muscle strength, atrophy, contractures, and bone weakening.