Deck 10: Positioning the Client

Question 1

Which assistive devices would be appropriate for the nurse to use when assisting an unconscious client from the bed to the stretcher?

A)Transfer belt
B)Transfer board
C)Hydraulic lift
D)Low-friction sheet
E)Egg crate mattress

Answer 1

Transfer board
Hydraulic lift
Low-friction sheet

Question 2

The nurse is transferring the client who is able to provide minimal assistance from the bed to the wheelchair.Which nursing action will provide for the safest transfer for this client?

A)Raising the bed height to waist height
B)Placing the wheelchair on the client's strong side
C)Placing the wheelchair with the feet pointing toward the side of the bed
D)Locking the wheels of the wheelchair and lowering the footplate

Answer 2

Placing the wheelchair on the client's strong side

Question 3

The nurse is documenting positioning for the client.Which piece of documentation is not required?

A)Number of personnel required for turning and positioning
B)Client's ability to assist with positioning
C)Any signs of pressure areas or contractures
D)Instructions provided to unlicensed assistive personnel (UAP)

Answer 3

Instructions provided to unlicensed assistive personnel (UAP)

Question 4

Where is the center of gravity of a well-aligned standing adult located?

A)Slightly anterior of the upper lumbar spine
B)Slightly posterior of the ileac crest
C)Slightly anterior of the waist
D)Slightly anterior of the upper sacrum

Question 5

The nurse is caring for an unconscious client who has foot drop.Which items would be useful in properly aligning the client's foot?

A)Pillows
B)Footboard
C)Trochanter roll
D)Foot boot

Question 6

The nurse is transporting the toddler to radiology.How should this transport take place?

A)The toddler is transported by crib.
B)The toddler is transported by wheelchair.
C)The toddler is transported by stretcher.
D)The toddler is transported by the nurse carrying the child.

Question 7

Which statement describes the limits of body mechanics regarding the safety of both the nurse and the client?

A)The nurse will not suffer a back injury as long as body mechanics are used.
B)The nurse who lifts weights can safely lift more weight.
C)The nurse who lifts a client with a mechanical assistive device reduces the risk of self-injury.
D)The nurse will not cause self-injury if the correct technique is used when lifting the dependent client.

Question 8

The nurse is caring for a postoperative client,who is on strict bed rest,after having a rod placed for scoliosis.The client is currently supine.Which action by the nurse is necessary prior to logrolling this client?

A)Moving the client closer to the side of the bed that the client will be turned toward
B)Placing a pillow under the client's head
C)Placing one or two pillows between the client's legs
D)Having the client fold the arms on the chest

Question 9

Two nurses are preparing to transfer a client from the stretcher to the bed.Which is a safe and efficient action to complete this task?

A)The nurse pulling the client onto the bed enlarges the base of support by moving the feet apart laterally.
B)The nurse pushing the object moves one foot forward.
C)The nurse pushing faces the head of the bed.
D)The nurse pulling faces the foot of the bed.

Question 10

The nurse positions the client on the sling,wheels the lift into position,and connects the sling to the lift.Which are priority safety measures prior to lifting the client?

A)Locking the wheels of the lift
B)Opening the base to the widest position
C)Lowering the side rails
D)Checking that the hooks are correctly placed and that matching chains are of equal length
E)Facing the hooks toward the client

Question 11

The nurse is observing two unlicensed assistive personnel (UAPs)moving a client with emphysema up in bed.Which action would indicate the need for further instruction on the procedure?

A)One UAP adjusts the bed to a flat position.
B)The wheels are locked and the bed is raised to waist level.
C)All pillows are removed,with one placed against the head of the bed.
D)One UAP stands on either side of the bed.

Question 12

The nurse is caring for a client who has been on complete bed rest for the past week.As the nurse assists the client to sit in the chair,the client becomes dizzy when the legs are dangled over the side of the bed.Which action by the nurse is the priority?

A)Returning the client to bed in the Trendelenburg position
B)Calling for help
C)Measuring the client's blood pressure
D)Having the client sit on the edge of the bed for several minutes,and encourage a few deep,slow breaths

Question 13

The nurse transfers an assigned client from the wheelchair to the hospital bed.Which items will the nurse include when documenting the client's response to the transfer?

A)Number of assistants needed
B)Type of equipment used
C)Pulse rate before and after the procedure
D)Blood pressure before and after the procedure
E)Safety precautions taken

Question 14

The nurse is preparing to lift a client up in bed.Which items should the nurse do prior to beginning this task in order to maintain safety?

A)Plan the move
B)Face the head of the bed
C)Raise the bed to waist level
D)Stand close to the bed with the legs close together
E)Straighten the knees

Question 15

A person maintains balance as long as the line of gravity passes through which item?

A)The base of support
B)The center of gravity
C)The center of gravity and base of support
D)The moving body part

Question 16

Which interventions would the nurse implement in order to support the unresponsive client in the dorsal recumbent position?

A)Place several pillows under the client's head.
B)Place a pillow under the lower legs from knee to ankle.
C)Place trochanter rolls laterally against the femur.
D)Always place a rolled towel or small pillow under the lumbar curvature.
E)Elevate the upper arms on pillows.

Question 17

The nurse may delegate which tasks to the unlicensed assistive personnel (UAP)?

A)Determining the number of staff needed for safe transfer
B)Assessing the client's ability to assist with transfers
C)Use of a hydraulic lift when moving a client
D)Determining appropriate positions for the client
E)Encouraging the client to participate as much as possible in repositioning