Nokea
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.
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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.
A nurse is caring for an obese 87-year-old patient with respiratory distress. The nurse understands the best position to place the patient in and selects the proper bed by which of the following positions?
- A. Semi-Fowler's position
- B. Prone position
- C. Sims' position
- D. Compella position
- E. Envella position
- F. High Fowler's position
Correct Answer: A,F
Rationale: Semi-Fowler's and High Fowler's positions facilitate breathing in respiratory distress by elevating the chest.
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.
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.