Deck 18: Moving, Handling, and Positioning the Surgical Patient
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Deck 18: Moving, Handling, and Positioning the Surgical Patient
1
An important element for the safety of the patient during positioning is ________. It is necessary to provide smooth, step-by-step coordination.
A) spur-of-the-moment decision making
B) teamwork
C) to always make the patient move herself or himself
D) music
A) spur-of-the-moment decision making
B) teamwork
C) to always make the patient move herself or himself
D) music
B
2
Injuries are reduced when health care providers use _____________.
A) proper body mechanics
B) restraints
C) lower back muscles when lifting patients
D) the stretcher to open a door
A) proper body mechanics
B) restraints
C) lower back muscles when lifting patients
D) the stretcher to open a door
A
3
The developmental age of the ________ is critical for communication to be effective.
A) child
B) child's caregiver
C) anesthesia care provider
D) person transporting the child
A) child
B) child's caregiver
C) anesthesia care provider
D) person transporting the child
A
4
Moving the arms away from the body is called _______________.
A) adduction
B) hyperextension
C) abduction
D) hyperflexion
A) adduction
B) hyperextension
C) abduction
D) hyperflexion
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5
Injuries are reduced when health care providers ___________.
A) lift using the muscles of their lower back
B) use proper body mechanics
C) do not bend hips
D) use sudden, jerky movements
A) lift using the muscles of their lower back
B) use proper body mechanics
C) do not bend hips
D) use sudden, jerky movements
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6
To assist the patient when falling, ______________________.
A) try to hold the patient up
B) keep your feet close together and knees straight
C) ease the patient to the floor, while protecting his or her head
D) once the patient is on the floor, seek help
A) try to hold the patient up
B) keep your feet close together and knees straight
C) ease the patient to the floor, while protecting his or her head
D) once the patient is on the floor, seek help
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7
The ________ position, or foot-down position, is used when the surgeon requires unobstructed access to the upper abdominal cavity and lower esophagus.
A) reverse Trendelenburg
B) Trendelenburg
C) Fowler's
D) semi-Fowler's
A) reverse Trendelenburg
B) Trendelenburg
C) Fowler's
D) semi-Fowler's
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8
Lying with the abdomen downward, the patient is in the ________ position.
A) supine
B) prone
C) lithotomy
D) lateral
A) supine
B) prone
C) lithotomy
D) lateral
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9
Caregivers may accompany a(n) ________ patient to the surgical suite and stay through anesthesia induction.
A) combative
B) trauma
C) unresponsive
D) pediatric
A) combative
B) trauma
C) unresponsive
D) pediatric
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10
______________________ must be higher than the patient's body.
A) Drainage bags
B) Intravenous (IV) lines and fluid
C) The room temperature
D) Both B and C
A) Drainage bags
B) Intravenous (IV) lines and fluid
C) The room temperature
D) Both B and C
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11
Sequential compression devices are used on patients having surgery to prevent ________.
A) blood flow
B) nerve damage
C) muscle cramps
D) blood pooling
A) blood flow
B) nerve damage
C) muscle cramps
D) blood pooling
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12
A sitting position used for cranial, facial, and some reconstructive breast procedures is called the ________ position.
A) Fowler
B) semi-Fowler
C) Trendelenberg
D) reverse Trendelenberg
A) Fowler
B) semi-Fowler
C) Trendelenberg
D) reverse Trendelenberg
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13
The ________ position is a type of prone position in which the patient lies on his or her abdomen with the hips flexed into an inverted "V" position.
A) Fowler
B) prone
C) jackknife or Kraske
D) dorsal recumbent
A) Fowler
B) prone
C) jackknife or Kraske
D) dorsal recumbent
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14
____________________ must be lower than the patient's body at all times.
A) Bed rails
B) The head of the bed
C) The extension boot on an orthopedic table
D) Drainage collecting units
A) Bed rails
B) The head of the bed
C) The extension boot on an orthopedic table
D) Drainage collecting units
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15
The use of a footboard for the patient in the reverse Trendelenburg position may prevent the patient from sliding downward, which can cause ______________.
A) shearing injury
B) vascular shift
C) compartmental syndrome
D) hypotension
A) shearing injury
B) vascular shift
C) compartmental syndrome
D) hypotension
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16
A safety strap should be placed __________________ between the patient and the strap.
A) directly on the patient's skin with two finger's space
B) on top of a blanket or sheet with three finger's space
C) directly on the patient's skin with three finger's space
D) on top of the blanket or sheet with four finger's space
A) directly on the patient's skin with two finger's space
B) on top of a blanket or sheet with three finger's space
C) directly on the patient's skin with three finger's space
D) on top of the blanket or sheet with four finger's space
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17
When moving a patient, keep feet _____________ to provide a wide base of support.
A) well apart
B) close together
C) in a narrow stance
D) touching each other
A) well apart
B) close together
C) in a narrow stance
D) touching each other
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18
When passing through manually operated doors while transporting a patient, ___________________.
A) push the foot of the stretcher forward against the door to open it
B) open the doors first and secure them open
C) always wait for someone to come through the door to help you
D) shout for someone to help you
A) push the foot of the stretcher forward against the door to open it
B) open the doors first and secure them open
C) always wait for someone to come through the door to help you
D) shout for someone to help you
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19
The surgical team may begin positioning the patient only after the ________ gives his or her permission.
A) anesthesia care provider
B) surgeon
C) surgical technologist
D) perioperative nurse
A) anesthesia care provider
B) surgeon
C) surgical technologist
D) perioperative nurse
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