Deck 48: Body Mechanics and Positioning

Question 1

The nurse lifts an object by bending at the knees and hips and keeping the back straight. Which principle of body mechanics is being followed to maintain balance?

A) Center of gravity
B) Line of gravity
C) Base of support
D) Gravital plane

Answer 1

Center of gravity

Question 2

The nurse spreads the feet sideways when lifting. Which principle of body mechanics is being followed to maintain balance?

A) Center of gravity
B) Line of gravity
C) Base of support
D) Gravital plane

Answer 2

Base of support

Question 3

Two nurses are preparing to turn an immobile client in bed using a lifting sheet. What should the nurses keep in mind with respect to proper body mechanics during the lifting procedure?

A) Keep their feet together when lifting
B) Keep their feet at the same level when lifting
C) Keep their knees, thighs, and ankles flexed slightly
D) Twist their bodies in the direction of the turn

Answer 3

Keep their knees, thighs, and ankles flexed slightly

Question 4

What are the reasons to change the client's position? Select all that apply.

A) Promote comfort
B) Restore body function
C) Relieve pressure
D) Prevent deformities
E) Exercise muscle

Question 5

A client had an arthroscopic repair of a joint. Which type of range-of-motion exercises would best promote joint mobility and speed rehabilitation?

A) Active range of motion
B) Passive range of motion
C) Continuous passive motion
D) Isometric range of motion

Question 6

What benefit results from isometric exercise?

A) Preserves muscle mass
B) Prevents joint deformities
C) Prevents stiffness of joints
D) Prevents skin breakdown

Question 7

A nurse is caring for a client who has been prescribed ambulation with assistance. What intervention should the nurse implement to best assure the client's safety?

A) Offer pain relief after ambulating if the client complains of pain when walking.
B) Assist with range-of-motion exercises just before the client gets out of bed.
C) Ask the client to perform isometric exercises returning to bed.
D) Have the client sit on the side of the bed for a few minutes before standing.

Question 8

Which precaution should the nurse implement to encourage autonomy when assisting a client when a sprained ankle from the bed to the wheelchair?

A) Check for the presence of an IV, a catheter, or other equipment.
B) Put a transfer belt along the client's waist if the client is heavy.
C) Lock the wheels of the bed and wheelchair.
D) Place the wheelchair on the client's strong side.

Question 9

When planning the ambulation of a client, when should the nurse medicate the client for pain?

A) 15 minutes before the client is to get up
B) 30 minutes before the client is to get up
C) 45 minutes before the client is to get up
D) Immediately upon returning the client to bed

Question 10

A nurse is to take a client in a wheelchair from one unit of the healthcare facility to another. Which precaution should the nurse take when approaching a curb with a client being transported in a wheelchair?

A) Turn the chair around and ease the large back wheels over the curb.
B) Lean forward and use body weight to propel the chair forward.
C) Tip the chair back and lift the small wheels over the curb.
D) Turn the chair around and pull it onto the curb.

Question 11

What precautions should the nurse implement when moving a client from the bed to a wheeled stretcher? Select all that apply.

A) Be sure to secure the client with a waist strap.
B) Provide enough blankets to keep the client warm.
C) Move the client using appropriate transferring techniques.
D) Assure that the side rails are up when the client is left unattended.
E) Side rails and wheel brakes must be in working order.

Question 12

Which intervention will assist a client to build the muscle strength needed to safety ambulate with crutches?

A) Perform passive range-of-motion exercises.
B) Assist in exercising the joints in the body.
C) Demonstrate the crutch-walking gait.
D) Teach the use of short crutches.

Question 13

Which statement accurately describes a Lofstrand crutch?

A) Single hand bar for the user to grip and a cuff that fits around the arm
B) Two bars extending straight down to the floor, connected by a rounded end
C) Gives more support because it stays in contact with the floor
D) Reaches from the ground to the client's axillae or forearm

Question 14

When adjusting the height of a client's crutches, at what distance does the nurse need to place the bottom of each crutch from the outside of the client's feet?

A) 3 in
B) 4 in
C) 5 in
D) 6 in

Question 15

What type of crutch-walking gait should the nurse recommend to the client who is only able to partially bear weigh on either leg?

A) Two-point gait
B) Three-point gait
C) Four-point gait
D) Swing-through gait

Question 16

What term would be used to describe the technique of crutch walking being used by the client who is using each crutch and each leg separately?

A) Two-point gait
B) Three-point gait
C) Four-point gait
D) Swing-through gait

Question 17

What statement accurately describes the precaution the nurse should take when restraining the client's hands using soft wrist protective devices?

A) Bring both ends of the tie together and attach them to the side rails.
B) Apply the padded portion of the device around the wrist.
C) Attach both straps on the same side of the chair.
D) Attach the restraint to only one wrist closest.

Question 18

What is the minimal number of times per day that the nurse should document a client's risk for falls while receiving care in an acute care facility?

A) One
B) Two
C) Three
D) Four

Question 19

While hospitalized, what color slippers will the nurse typically use to identify a client assessed to be a falls risk?

A) Blue
B) Green
C) Yellow
D) Red

Question 20

The nurse is taking care of client who is being treated for shock. Into which position should the nurse place the client to promote blood flow to the brain?

A) Lithotomy
B) Lateral
C) Trendelenburg
D) Reverse Trendelenburg

Question 21

The nurse is preparing a female client for her annual Pap smear. Which position should the nurse place the client?

A) Lithotomy
B) Lateral
C) Trendelenburg
D) Reverse Trendelenburg