Module 2: Activity

The nurse is transferring a client out of bed using a powered full‑body sling lift. How high above the bed should the nurse use the lift to raise the client?

6 in (15 cm)

The nurse is transferring a client from the bed into a wheelchair. Where would the nurse be positioned when assisting the client to stand?

As close to client as possible, with a foot positioned on the outside of the client's foot.

The nurse is helping a client with a weak left leg to a standing position for an assist into a wheelchair. What action would the nurse take to accommodate this weak extremity?

Brace the front knee against the client's left leg.

The nurse is moving a client from bed to a wheelchair using a powered full‑body sling lift. Where would the nurse position the frame of the lift?

Centered over the client.

When turning a client in bed, what positioning instructions would the nurse give the client before using the friction‑reducing sheet to turn the client?

Cross the arms across the chest and cross the legs.

A nurse is repositioning a client who has physical limitations due to recent back surgery. How often would the nurse turn the client in bed?

Every two hours.

The nurse is helping a client perform range‑of‑motion exercises on the hand and fingers. Which exercise would be performed first?

Flex the hand down and backward and relax.

The nurse is teaching a client how to perform range‑of‑motion exercises on the toes. What motions would be accomplished by curling the toes downward, spreading the toes apart, and then bringing them together?

Flexion, extension, abduction, and adduction.

The nurse is helping a client with musculoskeletal alterations to perform range‑of‑motion exercises. In what order would the nurse perform the exercises for the client?

From the head and down one side of the body at a time.

The nurse moves a client's leg laterally away from the client's body and then crosses it over the other leg. What joint or muscle is the nurse exercising?

Hip

Three nurses are transferring a client from the bed to a stretcher. Which action by the nurse is appropriate once the client is transferred to the stretcher?

Leave the friction‑reducing sheet in place for the return transfer.

What would the nurse do with the sling of a full‑body sling lift once the client has been lowered into a chair?

Leave the sling in place under the client.

When assisting a client from bed to a chair, the nurse counts to three prior to assisting the client to a standing position. What muscle group would the nurse use to assist?

Leg

When turning a client in bed, what muscle groups would the nurse use to pull the client to the opposite side of the bed?

Leg

The nurse is preparing to move a client using a powered full‑body sling lift. Which action is recommended in this procedure?

Lower the side rail on the side of the bed being worked on.

The nurse is preparing a client to be turned in bed. In what position would the nurse place the client to begin this procedure?

Lying flat.

The nurse is instructing a client to perform range‑of‑motion exercises on the head. Which statement accurately describes a recommended movement?

Move the chin down to rest on the chest.

After positioning a client to move from the bed into a wheelchair, how would the nurse stand when helping the client to sit up on the side of the bed?

Near the client's hip, with legs shoulder‑width apart and one foot near the head of the bed.

The nurse is turning a client in bed. Where would the nurse stand when using the friction‑reducing sheet to turn the client to the opposite side of the bed?

Opposite the center of the client's body.

When assisting a client from the bed into a wheelchair, the nurse assesses the client for signs of dizziness upon standing. For what adverse condition is the nurse assessing the client?

Orthostatic hypotension.

When assisting a client into a wheelchair, what action would the nurse take to ensure the client is properly positioned before sitting down in the wheelchair?

Pivot on the back foot and assist the client to turn until the client feels the wheelchair against the legs.

The nurse is preparing a client to move from the bed into a wheelchair. What motion would the nurse use when assisting the client to sit up on the side of the bed?

Pivot on the back leg to lift the client's trunk and shoulders.

The nurse adjusts a client's bed to a comfortable working height to turn a client. What would be the nurse's next action?

Pull the client to the edge of the bed to which the client will be turning.

The nurse is assisting a client from the bed into a wheelchair. Which is a recommended guideline for this procedure?

Raise the head of the bed to a sitting position.

When assisting a client from the bed into a wheelchair, the nurse assesses the client when standing up and notices that the client is weak and unsteady. What would be the recommended nursing intervention in this situation?

Return the client to the bed.

What motion is being provided for the shoulder when the nurse raises a client's arm at the side until the upper arm is in line with the shoulder, bends the elbow at a 90‑degree angle, moves the forearm upward and downward, and returns the arm to the side?

Rotation

Two nurses are moving a client up in bed. What motion would the nurses use to counteract the client's weight?

Shift their weight back and forth from the legs to the back muscles.

The nurse is assisting a client from bed into a wheelchair. Before asking the client to swing his or her legs over the side of the bed, what position would the nurse ask the client to assume?

Side‑lying.

The nurse is preparing to move a client up in bed with the assistance of another nurse. In what position would the nurse place the client, if tolerated?

Supine.

The nurse is assisting a client with limited mobility to turn in bed. After successfully turning the client to the side, where would the nurse place an additional pillow?

Supporting the client's back.

The nurse has transferred a client out of bed into a chair using a powered full‑body sling lift. How would the nurse know when the client has been lowered far enough into the chair?

The straps will be slightly loosened.

Why would the nurse lower the arms of a full‑body sling lift when attempting to transfer a client?

To attach the sling's hooks.

When moving a client up in bed, the nurse asks the client to fold the arms across the chest and lift the head with the chin on the chest. What is the rationale for placing the client in this position?

To prevent hyperextension of the neck.

When transferring a client from bed to a stretcher, the nurses working together turn the client to position a transfer board partially underneath the client. What is the rationale for using a transfer board in this procedure?

To reduce friction as the client is pulled laterally onto the stretcher.

Three nurses are following guidelines for safe client handling and are transferring a client from bed to a stretcher. Which description is correct, once the stretcher is placed next to the bed?

Two nurses stand beside the stretcher; one nurse stands on the opposite side of the bed.

The nurse is assisting with range‑of‑motion exercises for a client who is on bed rest following surgery. How often would the nurse perform each range‑of‑motion exercise?

Two to five times.

Assisting the client out of bed, the nurse is helping to lower a client into a wheelchair. What would the nurse ask the client to do at this point?

Use an arm to steady self on one chair arm while lowering to a sitting position.

The nurse is assisting a client from the bed into a wheelchair. After helping the client to a sitting position, what would be the nurse's next action?

Wrap the gait belt around the client's waist.