PrepU Funds. assignment 5 Body mechanics

A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a recent stroke, but his care team wishes to now begin introducing minced and pureed food. How should the nurse best position the client?

Fowler's

A client who has been lying prone reports shortness of breath and a sensation of choking. Into which position will the nurse place the client?

Fowler's

The nurse is caring for a client who has been on bed rest. The primary care provider has just written a new order for the client to sit in the chair 3 times per day. Which action will be most effective to transfer the client safely into the chair?

Have the client sit on the side of the bed for several minutes before moving to the chair.

A client with a diagnosis of chronic obstructive pulmonary disease has been experiencing debilitating periods of dyspnea since being admitted to the health care facility. What position is most likely to alleviate this client's shortness of breath?

High Fowler position

A nurse places a client in the position shown in the accompanying photo. What position is the client assuming?

Trendelenburg

The occupational nurse is teaching an administrative assistant about proper posture when sitting. Which teaching will the nurse include?

"Both of your feet should rest on the floor."

The nurse is teaching a client about good posture when lying down to go to sleep. Which teaching will the nurse include?

"Picture yourself with good posture standing; that is how good lying posture works."

The nurse is assisting an older adult client with dementia in getting dressed after morning care. Which statement would be most beneficial to the client?

"Put your arm in this sleeve."

A UAP asks the nurse what trochanter rolls are used for when providing client care. What is the appropriate nursing response?

"To prevent the legs from rotating outward."

The nursing assistant is preparing to help the client make a lateral transfer from the bed to a stretcher. The client informs the nurse that the client is able to move onto the stretcher without the nurse's help. What is the nurse's best response?

"You are free to move onto the stretcher without assistance, but I will supervise for your safety."

The client is a clerical assistant for an inpatient hospital unit. He spends most of his day at a desk. What would the nurse advise the clerical assistant to do to minimize damage to his musculoskeletal system? Select all that apply.

-Adjust the height of the work area. -Face the direction of the activity he is performing. -Use a wide stance and lift with the large leg muscles.

A 90-year-old widower lives alone in her home. The nurse knows that older clients are at increased risk for falls. What other factors contribute to increased risk for falls in clients? Select all that apply.

-ataxic gait -history of a fall 5 years ago -diuretics

A nurse is conducting a home assessment of a 90-year-old male client with a history of several minor strokes that have left him with a hemiplegic gait. The nurse is particularly concerned about falls. Which activities would help to prevent falls for this client? Select all that apply.

-removal of clutter on the floor -placing a nightlight in the bathroom and the hallways -moving the bedroom to the ground floor

A client is postoperative day two following hip replacement surgery and the nurse is helping the physical therapist ambulate the client for the first time since surgery. How can the nurse and therapist best assist the client from a seated position at the edge of the bed to a standing position?

Apply a transfer belt around the client's waist.

A nurse is assessing a client after knee surgery in a health care facility. Which intervention should the nurse follow to avoid complications associated with disuse syndrome?

Encourage active exercise with a bed trapeze.

A nurse uses proper body mechanics to move a client up in bed. Which action is a guideline for using these techniques properly?

Keep feet together to provide a base of support.

A nurse assists the client into the position shown in the accompanying image. Which position is the client assuming?

Lateral oblique

A nurse is helping a client to stand up from a lying position. What can the nurse do to improve the base of support?

Move nurse's feet wider apart.

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

Move the client to edge of the bed opposite the side that client will be turning.

The nurse recognizes that which organization requires that employers comply with ergonomic recommendations?

National Institute for Occupational Safety and Health (NIOSH)

The nurse would like to elevate the client's arms to promote ventilation in a client with chronic obstructive pulmonary disease. What intervention should the nurse implement?

Place a small pillow under each arm.

A nurse is preparing to turn a hospitalized client age 65 years. Which action is a recommended guideline for performing this skill?

Position a friction-reducing sheet under the client.

A nurse is caring for an elderly client who is very ill. The nurse uses a lifting sheet to transfer the client from the bed to the stretcher. How does transfer by lifting sheet help the client?

Prevents shearing of tissue

The nurse is caring for a client who is on bed rest and was just turned to the left side. Which action should the nurse take next to decrease the risk of impaired skin integrity?

Pull the shoulder blade forward and out from under the client.

A 45-year-old woman is admitted after undergoing a hysterectomy. She has been immobile for 2 days. She has a 20-year history of smoking. She also takes oral estrogen to manage her hot flashes. As a nurse assesses the client, she notices that the client's left leg is dark purple and measures 2 inches (5.08 cm) larger than her right leg. What is the client most at risk for?

Pulmonary embolism

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

Raise the head of the bed to a sitting position.

Which postural deformity might be assessed in a teenager?

Scoliosis

A nurse is demonstrating the proper use of body mechanics to a group of nursing students. What would be most appropriate for the nurse to do?

Stand with legs wide apart.

The client is an active, healthy 2-year-old child. His mother asks a nurse what she can expect developmentally from the boy over the next few years. What is the nurse's best response?

The client will continue to grow rapidly and will refine both gross and fine motor skills.

The nurse would like the client to perform some exercises that use muscle shortening and active movement. The nurse tells the client it will help build bone and improve cardiac and respiratory functioning. Which exercises should the nurse encourage the client to do? Select all that apply.

Walking Swimming Bicycling

Which type of mobility aid would be most appropriate for a client who has poor balance?

a cane with four prongs on the end (quad cane)

The proper use of the principles of body mechanics:

acts to prevent injury to the client and/or nurse.

The nurse is performing discharge teaching with the family of a male client who has limited mobility and a significant cognitive deficit. The nurse has described the phenomenon of foot drop to the client's family and should describe what intervention to prevent it development?

applying a foot splint correctly to maintain neutral foot positioning

When a client is lifted or held by a nurse, the additional weight becomes a part of the nurse's weight and should be:

balanced over the center of gravity.

A nurse is caring for a client with extensive burns. Which would the nurse have to attach to the client's bed to prevent the bedclothes from touching the client's body?

bed cradle

The nurse is teaching a new graduate nurse about the most common causes of back injuries. The nurse knows that the new graduate understands the concepts of back injuries when she states that back injuries:

can occur when repositioning uncooperative clients.

The nurse is preparing to move a client from bed into a wheelchair to eat lunch. What client data would the nurse check to see if the assistance of another nurse is needed?

client restrictions

A 45-year-old man is interested in starting an exercise program. The nurse informs him that exercise does not:

decrease appetite.

The nurse directs the UAP to assist a client with eating. Into which position will the nurse delegate the UAP to place the client?

high Fowler's

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

When logrolling a client, the nurse should use supportive devices in turning the client in order to:

maintain the natural alignment of the client's body.

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

A nurse knows that use of a trapeze would be contraindicated for a client:

on lifting restrictions.

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

The nurse is caring for a client who has a lower body injury and who is able to partially assist with transfers. The nurse should:

provide the client with an overhead trapeze.

The nurse is caring for a client with incontinence who has been neglected in supine position at home for more than a week. Which priority nursing diagnosis will the nurse select?

risk for impaired skin integrity

A male client is being treated on a neurological unit for the effects of a recent stroke. The client's family members are participating actively in his care and frequently position him in a supine position. The nurse should teach the family members about the benefits of alternative positions in order to reduce the client's risk of:

skin breakdown.

The nurse has been educating the client about how to use a walker safely. The nurse knows the education has been effective when the client:

steps into the walker when walking.

The pediatric nurse is caring for a newborn infant. In which position will the nurse place the infant to sleep?

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

A nurse is providing care for a client who has been newly admitted to the long-term care facility. What is the primary criterion for the nurse's decision whether to use a mechanized assistive device for transferring the client?

the client's ability to assist

Why is it important for the nurse to teach and role model proper body mechanics?

to promote health and prevent illness

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

A nurse is repositioning a client who has physical limitations due to recent back surgery. The nurse should turn the client in bed every:

two hours.