Chapter 23 Body Mechanics

Fowler

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

High Fowler position

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?

Use a drawsheet or a friction-reducing sheet to facilitate smooth movement.

A client with a hip fracture is returning to the orthopedic unit, and the orders indicate that the client should be turned by logrolling. Which statement regarding logrolling is correct?

trochanter rolls

A client with limited mobility has outward rotation of the bony protrusions at the head of the femur. Which assistive device would the nurse include in the plan of care?

foot drop.

A nurse applies padded boots to maintain the foot in dorsiflexion to a client who is comatose. The nurse is protecting the client from:

Lateral Oblique

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

Prevents shearing of tissue

A nurse is caring for an older adult 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?

stand with legs wide apart

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?

positioning a friction-reducing sheet under the client to facilitate movement

A nurse is preparing to turn a client who is unable to mobilize independently. Which action best ensures the safety of both the client and the nurse?

the client's ability to assist

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?

Bed Trapeze

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

45 degrees

A nurse is to place a client in the semi-Fowler position. To what degree should the nurse elevate the client's head and torso?

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

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

to the point of resistance , exercise to full limitation of the area

An adult has been admitted to the intensive care unit following a cerebrovascular accident. The client is unconscious and the plan of care includes passive range-of-motion exercises. The nurse should move each joint ______ which, results in _________.

"Move slowly and sit on the edge of the bed before transferring to the chair."

An older adult client is transferring from a supine position to a sitting position in a chair. The client reports dizziness when transferring. Which teaching by the nurse is most appropriate?

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

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

Keep the knees bent while assisting the client from the bed.

The nurse is assisting a client from the bed to a chair that is positioned next to the bed. The client requires partial assistance in the transfer. What action will the nurse perform to prevent injury to self?

supporting the client's back

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?

transfer belt

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

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

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?

pull the shoulder blade forward and out from under the client

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?

-Enlist the assistance of another care provider for the time of the next repositioning. -Raise the height of the client's bed to the nurse's elbows. -Have a pillow or positioning device ready to place under the client's feet.

The nurse is caring for a client who is recovering from a traumatic head injury and requires repositioning every 2 hours. The client has a foley catheter in place for urinary retention and pitting edema to the feet. Which action(s) will the nurse take when preparing to reposition this client? Select all that apply. -Enlist the assistance of another care provider for the time of the next repositioning. -Raise the height of the client's bed to the nurse's elbows. -Secure the Foley catheter tubing and urine bag to the bed linens. -Prepare to turn the upper body first, followed by the lower body. -Have a pillow or positioning device ready to place under the client's feet.

Semi-Fowler

The nurse is caring for a client with pneumonia. The nurse notes the client has developed dyspnea. Into which position will the nurse assist this 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'

The nurse is preparing the client for the administration of an enema. The nurse will place the client into which position?

leave the friction-reducing sheet in place once the client is transferred

The nurse is preparing to transfer a client from the bed to a stretcher. What action should the nurse take to prevent injury to the client and nurse?

Thrombus Formation

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

trapeze bar

The nurse is working to increase functional ability of a client who is bedbound. Which assistive technique should the nurse prioritize in the plan of care?

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

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

Orthostatic hypotension

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

Have the client fold the arms across the chest.

When moving a client up in bed with the assistance of another caregiver, the nurse should:

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

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