Mobility, Body Mechanics and Safety
Which of the following could be used for a bioterorist attack? (select all that apply)
-Bubonic Plague -Anthrax -Smallpox
A long term care facility is committing to a restraint free environment. What will the health care worker implement to encourage this environment (select all that apply)
-Frequent orientation to surroundings -Explain all procedures and treatments -Maintain toileting routines
Who assesses when a SRD (Safety reminder device) is needed?
nurse
A client with emphysema is having difficulty breathing. Which position would the client most likely choose to be in to breathe more comfortably?
orthopneic
A nurse learns during an in-service that hospital must report any unexpected occurrence involving death serious physical or psychological injury to the joint commission (TJC) What does the TJC call these occurrence?
sentinel events
The nurse is aware that most patient falls occur when patient are doing which activity?
transferring
A patient has sustained a flea bite and quickly develops acute symptoms of pneumonia. He has been brought to the emergence department for a sudden onset of respiratory failure. The physician believes the patients symptoms are due to exposure to a biologic agent. Which of the following conditions does the patient most likely have?
Bubonic Plague
(A federal agency that provides facilities and service for the investigation, identification prevention control of disease) and also provides guidelines for working with infection patients
Center for disease control and prevention (CDC)
An abnormal shortening of muscle
Contracture
An uncontrolled, unexpected, psychologically shocking event that is unique and likely to have impact on variety of health care facilities
Disaster Situation
Lying flat on back
Dorsal (supine) positon
The science of matching workplace condition and job demands to the capabilities of the workers regarding musculoskeletal disorders
Ergonomics
The LPN/LVN assists a Patient into fowlers position per Health Care Provider (Physician or Practitioner) order. What would indicate that this patient is in correct position?
Head of bed is at 45 to 60 degree angle
A nurse instructs an UAP about moving older adults patients. Which statement made by the UAP indicates that more teaching is needed?
I should pull the patient across the bed linens
A disaster situation occurs and involves an explosion in a hospital laundry. What type of disaster would this be?
Internal
The nurse is aware that applying a safety reminder device(SRD) can result in charges of false imprisonment if which of the following is not done first?
Obtaining a physician's order
The nurse receives a patient from the recovery room following total hip replacement. What will the nurse include when assessing neurovascular status on this patent? (Select all that Apply)
Pain, Sensation, Color, Skin temperature
What is the term for range of motion ROM when it is performed by the nurse?
Passive
The nurse notes that the UAP is using proper body mechanics when carrying heavy object which of the following?
Placing the load close to the body midline
The emergence department nurse admits a victim of poisoning. Who should the nurse call to receive the best assistance for dealing with this victim?
Poison control center
An unlicensed assistive personal was using a gait belt to ambulate a patient suddenly becomes dizzy and started to fall. What action by the UAP Would be appropriate?
Slide the patient down the UAP legs to the floor
The supervisor overhears the LPN delegating safety measures to a UAP for a disoriented client. Which statement by the LPN needs further education regarding safety measures?
Specific measures to minimize risk
When moving older adults in bed. Which of the following techniques should be used?
Support older adults under the joints when moving them in bed
When reinforcing the PASS acronym for fire extinguisher use the nurse reminds the staff that the final "S" Sands for ____________.
Sweep
What important safety precaution should that home health nurse teach parents in order to prevent burns to small children?
Turn pot handles on stove away from reach
An unlicensed assistive personal (UAP)notes a mercury spill in a patient's room Which action should the nurse stop the UAP from doing?
Vacuuming the mercury spill
A nurse instructs a nursing assistant about proper use of a gait belt and observing a return demonstration. What action by the nursing assistant should cause the nurse to intervene? The nursing Assistant is
Walking on the patients strong side
A fall assessment is done for all new patient on admission to health care facilities. At what other time should a fall risk assessment be done?
Whenever a significant change in the patient's condition has occurred
What should the nurse do to reduce the effort of moving a heavy object?
Widen the base of support in the direction of movement
What Should the nurse do to protect his or her back when moving a patient.
Bend at the knees and hips
Movement of limb away from axis (center) of body
Abduction
What is the term range of motion when it is performed by the patient?
Active
What emergency situation is the nurse concerned may occur with extreme pain in the lower leg?
Acute Compartment Syndrome
Movement of limb toward the axis of the body
Adduction
How should the nurse assist the patient with moving when pain is anticipated?
Administer pain meds before ambulation
The relationship of various body parts to each other
Alignment