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Which interventions are appropriate for this patient?
- A. Turn, cough, and deep breathe every 2 hours while in bed.
- B. Perform passive range-of-motion (ROM) exercises to his right side and active ROM exercises to his left side bid.
- C. Avoid positioning him on his right side at any time.
- D. Encourage fluid intake every 1 to 2 hours.
- E. Make decisions for the patient because he is difficult to understand.
- F. Assist him to dangle prior to transferring him to the chair.
Correct Answer: A,B,D,F
Rationale: These interventions prevent complications like pneumonia, maintain mobility, promote hydration, and assess position tolerance. Avoiding right-side positioning is unnecessary, and making decisions for the patient disregards autonomy.
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When performing range-of-motion exercises, which action will you take first?
- A. Cover the patient with a bath blanket to preserve dignity and keep the patient warm.
- B. Wash your hands to prevent cross-contamination.
- C. Exercise the patient's neck by moving it from side to side.
- D. Check the patient's chart for any contraindications to full range-of-motion exercises.
Correct Answer: B
Rationale: Hand washing prevents infection, a critical first step before any patient contact.
Slide sheets are different from draw sheets because they are
- A. Placed beneath the patient.
- B. Used to move the patient up in the bed.
- C. Made of thin webbed nylon.
- D. Used to turn the patient from back to side.
Correct Answer: C
Rationale: Slide sheets are made of low-friction nylon, unlike draw sheets, to facilitate patient movement.
When you prepare to turn a patient who has had spinal surgery, you will plan to
- A. Have a total of three health-care staff assist with the turn.
- B. Have the patient assist by using a trapeze bar.
- C. Have each person turn a section of the patient's body at a separate time.
- D. Logroll the patient.
- E. Have one person at the patient's head to direct the turn.
Correct Answer: A,D,E
Rationale: Logrolling with three staff, one directing at the head, ensures spinal alignment and safety post-surgery.
Which assistive device would you use after a patient had fallen to help him or her return to bed?
- A. A slide board
- B. A slide sheet
- C. A transfer belt
- D. A battery-operated lift
Correct Answer: D
Rationale: A battery-operated lift safely assists a fallen patient back to bed, minimizing injury risk.
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.