Exam 16: Moving and Positioning Patients

The nurse reinforces education for a patient with a history of orthostatic hypotension.Which patient statement indicates the need for additional teaching?

Which term does the nurse document in the patient's medical record for the movement of the intestines?

The nurse provides care to a patient who begins to fall during ambulation.Which nursing action ensures safety for the nurse and the patient in this situation?

The nurse plans care for hospitalized patients.When planning care for this patient, the nurse includes intervention to prevent which preventable condition that is responsible for the most preventable deaths during hospitalization?

The nurse provides care to a patient whose proper flexion of the ankle is lost, and permanent plantar flexion of the foot develops.The nurse includes interventions in the plan of care to address which condition?

A nurse delegates the task of assisting patients with ambulation to a nursing assistant.The nurse intervenes when observing the nursing assistant implements which action?

The nurse reinforces education to a patient who is at risk for thrombosis.Which patient action indicates correct understanding of the information presented?

The nurse provides care for a patient who has been on prolonged bedrest and is now experiencing shortening and tightening of the muscles due to disuse.The nurse includes interventions in the plan of care to address which condition?

When educating a student about how to correctly logroll a patient, the nurse recognizes that additional teaching is necessary when the student makes which statement?

The nurse provides care to a patient who is at risk for integumentary complications.Which interventions does the nurse include in the patient's plan of care based on this information? Select all that apply.

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.Which term does the nurse use when documenting information about this bed in the patient's medical record?

The nurse provides care to a bedbound patient who is at increased risk for the formation of a blood clot.When planning care for this patient, the nurse includes intervention to address which condition?

The nurse provides care to a patient who is diagnosed with a loss of bone minerals increasing the risk for fractures.When planning care for this patient, the nurse includes interventions to address which condition?

Which term does the nurse include in the plan of care for skin that slides over another surface in the opposite direction, which increases the risk of abrasions and open skin areas?

The nurse plans care for a patient who has a history of becoming dizzy, pale, clammy, and nauseated when moving from a lying position to a sitting position.The nurse plans interventions to prevent which condition?

The nurse provides care for an immobile patient.Which interventions does the nurse include in the patient's plan of care to prevent psychological complications for this patient? Select all that apply.

The nurse provides care to a patient who develops respiratory distress.The patient needs to be positioned to allow for the chest to expand to maximum capacity for moving air in and out of the lungs.In which position does the nurse place the patient?

While assisting the primary nurse who is manually transferring a patient from a bed to a chair, the nurse intervenes when the primary nurse implements which action during the transfer?

The nurse observes a caregiver positioning a patient in the bed.Which caregiver action requires an intervention by the nurse?

A nurse reinforces education to a patient about how to avoid developing osteoporosis.Which patient statement indicates to the nurse a need for additional teaching?