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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.
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Which assistive device will you use to assist a patient with mild right-sided weakness as he moves from the bed to the wheelchair?
- A. Transfer belt
- B. Slide sheet
- C. Slide board
- D. Transfer board
Correct Answer: A
Rationale: A transfer belt provides support and safety for a patient with mild weakness during transfers.
Why is it important to explain what you will be doing when you assist a patient with position changes?
- A. The patient may be sedated or have an impaired level of consciousness.
- B. The patient may have a preference about who performs repositioning.
- C. The patient will be more cooperative with the position change.
- D. The patient will be less likely to resist during the position change.
- E. The patient can more easily assist with the position change.
Correct Answer: C,D,E
Rationale: Explaining procedures promotes cooperation, reduces resistance, and enables patient assistance, enhancing safety and comfort.
You are caring for a patient on the first day after surgery. You have orders to get her up in the chair for 30 minutes twice a day. Her BP is 110/64 and P 86 while lying down. After you assist her to dangle, her BP is 102/60 and P 102. What will you do?
- A. Return her to lying position and monitor vitals
- B. Proceed to transfer her to the chair
- C. Administer IV fluids immediately
- D. Notify the physician
Correct Answer: A
Rationale: A drop in BP and increased pulse suggest orthostatic hypotension; returning her to bed and monitoring is safest.
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.
You and an unlicensed assistive personnel (UAP) are preparing to turn an immobile patient from her back to her right side. Which of the following actions will you take first?
- A. Place a pillow between her knees and ankles.
- B. Cross the patient's left leg over her right leg.
- C. Move the patient to the left side of the bed.
- D. Externally rotate the patient's right shoulder.
Correct Answer: C
Rationale: Moving the patient to the left side of the bed first provides space for safe turning to the right side.