Ch 23: Body Mechanics, Positioning, and Moving TTE

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?

Fowlers

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

Trendelenburg

The nurse is working to increase functional ability with a client. Which assistive technique should be included in the plan of care?

trapeze bar

A client works in a warehouse and has been having low back pain. Which statement would indicate the need for more education regarding safe lifting?

"I hold the boxes away from my body so I don't drop them on my feet."

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 nurse and an unlicensed assistive personnel (UAP) are preparing to move a client up in bed. Place the following steps in the correct order. Use all options.

Adjust the head of the bed to a flat position. Remove all pillows from under the client. Position the UAP on the side opposite the nurse. Place a friction-reducing sheet under the client. Ask the client to bend the legs and place the chin on the chest. Grasp the sheet and move the client on the count of three.

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.

The nurse is assisting the client who has dementia from the bed to the chair for mealtime. What actions by the nurse would facilitate cooperation from the client? Select all that apply.

Call the client by the preferred name. Face the client when speaking. Provide instructions one at a time. Be positive in statements when providing instructions.

A client is lying on her back with her arms at her side and knees supported with a pillow. What nursing documentation is most appropriate for this client?

Client is in supine position with arms in functional position and pillow support under the knees.

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 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.

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.

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.

When assessing for proper body alignment of a standing client, which finding is normal?

The weight of the body is distributed on the soles and heels.

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

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 providing care to client confined to bed. To promote client independence while moving in bed and provide assistance in moving up in bed, which device would be appropriate to use?

bed trapeze

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

decreased appetite

What is a benefit of regular exercise over time?

decreased heart rate

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

As a part of his workout regimen, a 21-year-old college football player often engages in squats and lateral arm holds. These are examples of what type of exercise?

isometric

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

The nurse is caring for a client with hemorrhoids. To facilitate a rectal examination, into which position will the nurse place the client?

sims

The nurse is caring for a client with rectal bleeding. The nurse will place the client into which position to facilitate rectal examination?

sims

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.

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

When assessing the physical activity of clients, the nurse would be most concerned about which client?

the middle-age computer programmer

The nurse is providing health teaching for a client who flies often for business. Which risk factor associated with flying will the nurse emphasize?

thrombus formation

The nurse is caring for a 76-year-old client who has an unsteady gait. Which method is most appropriate to assist in transferring?

transfer belt