Question 1

A nurse needs to transfer a female patient who is only partially capable of bearing her own weight into a wheelchair for transport to an x-ray. The nurse determines that the correct device for transferring this patient is a

Accepted Answer

A transfer belt is a device worn around the patient's waist that provides a secure and comfortable grip for the caregiver during the transfer process. It is recommended for patients who are partially capable of bearing their own weight and need assistance with balance and stability during transfers. Slide sheets, slide boards, and lifts are typically used for patients with more severe mobility limitations.

Question 2

A nurse encourages patients to ambulate because complications from immobility include which of the following?

Accepted Answer

The answer of A nurse encourages patients to ambulate because...

Question 3

Nursing measures to prevent integumentary complications include which of the following?

Accepted Answer

The answer of Nursing measures to prevent integumentary complications include...

Question 4

Nursing measures to prevent urinary complications include which of the following?

Accepted Answer

Monitoring urinary output helps detect issues early. Encouraging voiding every 8 hours prevents retention. A sitting position aids complete bladder emptying. Adequate fluid intake promotes regular urination and prevents infections.

Question 5

Nursing measures to prevent gastrointestinal complications include which of the following?

Accepted Answer

Giving a laxative or stool softener as needed can prevent constipation and decrease the risk of fecal impaction, while having the patient drink at least 8 ounces of fluid every 2 hours helps to promote bowel regularity and prevent dehydration. Ambulating the patient and repositioning them on bedrest at 4-hour intervals may also be important for preventing gastrointestinal complications, but they are not mentioned as options in the given choices. Teaching the patient to consume a low-fiber diet may actually increase the risk of constipation and should not be recommended unless specifically ordered by a healthcare provider for a different medical reason.

Question 6

A nurse is preparing a patient for an enema. The correct body position for this type of procedure would be

Accepted Answer

Left Sims position is the correct position for administering an enema as it allows for better visualization and easier access to the rectum.

Question 7

A patient lies in a special type of bed frame that allows the entire bed to turn from side to side. The mattress is low air-loss and the bed can be programmed to turn by degrees at set intervals. The nurse explains to the patient that this is a type of specialty bed called a

Accepted Answer

A continuous lateral-rotation bed is a type of specialty bed that allows the entire bed to turn from side to side and is used for patients who are at risk of developing pressure ulcers or pneumonia. The mattress is low air-loss and the bed can be programmed to turn by degrees at set intervals, providing the patient with a continuous passive motion therapy.

Question 8

A nurse needs to prevent the external rotation of a patient's legs. The nurse identifies that the correct positioning device would be

Accepted Answer

A trochanter roll is specifically designed to prevent external rotation of the patient's legs by supporting the hip and keeping it in a neutral position. Stirrups are used for gynecological and urological procedures but they do not prevent external rotation. A blanket roll may provide some support but it is not designed to prevent external rotation. A foot board is used to keep the feet in a neutral position and does not prevent external rotation of the hips.

Question 9

A nurse is preparing a female patient for a vaginal examination. The correct body position for this patient would be

Accepted Answer

The correct body position for a vaginal examination is lithotomy position, where the patient lies on her back with her feet in stirrups and her knees bent and separated. This position allows for easy access to the vagina while maintaining patient comfort and modesty. Lateral, high Fowler, and reverse Trendelenburg positions do not provide adequate access for a vaginal examination.

Question 10

An instructor explains to students the Handle With Care campaign that was instituted by the American Nurses Association (ANA). A student demonstrates understanding by saying:

Accepted Answer

The Handle With Care campaign was instituted by the American Nurses Association (ANA) to prevent musculoskeletal injuries in healthcare workers, not to provide disciplinary action or a 'no lifting' program. It provides guidelines and best practices for safe patient handling. There is no Handle With Care bill.

Question 11

A nurse implements nursing measures to prevent neurological complications. The nurse knows the importance of which of the following?

Accepted Answer

The answer of A nurse implements nursing measures to prevent...

Question 12

A nurse needs to position a patient in severe respiratory distress in a manner that allows the chest to expand to maximum capacity for moving air in and out of the lungs. The correct body position for this patient would be

Accepted Answer

The orthopneic position with the patient sitting upright or with the head of the bed elevated allows for the maximum expansion of the chest and the most effective movement of air in and out of the lungs, making it the best choice for a patient in severe respiratory distress. Right Sims and supine positions do not provide as much chest expansion, while Trendelenburg position would actually worsen respiratory distress as it places the patient in a head-down position.

Question 13

Nursing measures to prevent psychological complications in immobile patients include which of the following?

Accepted Answer

The answer of Nursing measures to prevent psychological complications in...

Question 14

A patient lies in a bed frame lined with a pocketed air mattress. Each pocket is filled with air and can be inflated or slightly deflated to prevent pressure on any one area. A nurse explains to the patient that this type of specialty mattress that can be customized for the needs of each patient is called a

Accepted Answer

The description matches that of a low air-loss bed, which uses air-filled pockets that can be customized to the patient's needs to distribute pressure evenly and reduce the risk of bedsores. A continuous lateral-rotation bed turns the patient to prevent bedsores, a mattress overlay is a thin layer placed on top of a regular mattress for added support, and an air-fluidized bed uses tiny beads to create a fluid-like surface that redistributes pressure.

Question 15

Nursing interventions to prevent atelectasis and pneumonia include which of the following?

Accepted Answer

Elevating the head of the bed promotes lung expansion, turning every 2 hours helps to prevent pooling of secretion and improves ventilation, and using an incentive spirometer helps to increase lung capacity and prevent atelectasis and pneumonia. Keeping the patient in a prone position for an extended period can increase the risk of atelectasis and pneumonia, and assisting with turning, coughing, and deep breathing only once per shift is not enough to prevent these complications.

Question 16

Nursing interventions to prevent musculoskeletal complications include which of the following?

Accepted Answer

Maintaining proper body alignment (A), keeping the head, trunk, and hips in a straight line (C), aligning the arms with the shoulders and trunk (D), and preventing leg rotation in the hip sockets (E) are all interventions to prevent musculoskeletal complications. Maintaining a slump-shouldered position (B) is not recommended as it can lead to poor posture and musculoskeletal issues.

Quiz 16: Moving and Positioning Patients