Positioning, Transfers, and Ambulation CNA Review:

Dangling is _____

a way to help residents regain balance before standing up

What does ambulation mean?

ambulation is walking

What should you do if a resident starts to fall during a transfer or while walking?

bring the resident's body close to you to break the fall. Bend your knees and support the resident as you lower ger to the floor.

Quad cane

four rubber-tipp

If the resident is unable to stand without help, the nursing assistant should

hold the resident close to the NA's center of gravity *brace the resident's lower extremities

A resident in the Fowler's position is

in a semi-sitting position

Some residents have a side of the body that is weaker than the other one. The weaker side of the body should be referred to as the

involved side

What is a transfer belt?

is a safety device used to transfer residents who are weak, unsteady or uncoordinated (gait belt)

What is a Draw sheet?

is an extra sheet placed on top of the bottom sheet when the bed is made

What is shearing?

is rubbing or friction that results from the skin moving one way and the bone underneath it remaining fixed or moving in the opposite direction

In this position the resident is lying on either side.

lateral

When helping a visually-impaired resident walk, it is important for the nursing assistant to

let the resident walk beside and slightly behind her

Which of the following statements is true of mechanical or hydraulic lifts

lifts help prevent injury to the nursing assistant and the resident

Lateral Position

lying on either side, pillow can support the arm and leg on the upper side, the back and the head, knee on upper side of the body should be flexed

What is logrolling?

means moving a resident as a unit, without disturbing the alignment of the body.

in addition to a gait belt, what equipment should the nursing assistant have when assisting a resident to ambulate?

non-skid shoes

Supine Position

on back, pillow on head, arms and leg

when applying a transfer (gait) belt, the nursing assistant should place it

over the resident's clothing and around the waist

In this position, the resident is lying on his stomach

prone

which of the following assistive devices for walking has four rubber tipped feet

quad cane

A draw sheet is used to _______

reposition residents without causing shearing

Prone Position

resident is on their stomach, pillow at ankles

Fowler's position

semi-sitting position, head and shoulders should be elevated, knees may be flexed and elevated using a pillow/rolled blanket

The following piece of equipment may be used to help transfer residents who are unable to bear weight on their legs

slide or transfer board

When using a cane, the resident should place it on his _____ side

stronger

when transferring residents who have one sided weakness, which side moves first

stronger side

Which of the following statements is true of wheelchairs?

the NA should check the resident's alignment in the chair after a transfer is complete

Why do residents who spend a lot of time in bed or wheelchairs need to be repositioned often?

they are at risk of skin breakdown and pressure ulcers.

What does dangle mean?

to sit up on the side of the bed with the legs hanging over the side.

What is a slide board/transfer board?

used to help transfer residents who are unable to bear weight on their legs.

a resident who has some difficulty with balance but can bear weight on both legs should use a

walker