Chapter 16 Moving and Positioning Patients 128 23. Why is it important to explai

Question

Chapter 16 Moving and Positioning Patients 128 23. Why is it important to explain what you will be doing when you assist a patient with position changes? a. The patient may be sedated or have an impaired level of consciousness. b. The patient may have a preference about who C. The patient will be more cooperative with the posi- d·The patient will be less likely to resist during the e. The patient can more easily assist with the position tion change. position change change. Part 3. Review Questions Choose the correct answer(s). In some questions,28. You and an unlicensed assistive personnel (UAP) are more than one answer is correct. Select all that apply. preparing to turn an immobile patient from her back to her right side. Which of the following actions will you take first? a. Place a pillow between her knees and ankles. b. Cross the patient's left leg over her right leg. c. Move the patient to the left side of the bed. d. Externally rotate the patient's right shoulder 24. A patient you are caring for has been on bedrest for 4 days and is having difficulty with gas and constipa- tion. What nursing interventions will you use to help prevent further gastrointestinal complications? a. Encourage fluid intake of 6 ounces every 4 hours to prevent further constipation. b. Help the patient choose well-balanced meals, keep- 29. When you prepare to turn a patient who has had spinal surgery, you will plan to: a. Have a total of three health-care staff assist with e. Assess bowel sounds and the frequency of bowel d. Serve preferred liquids with a straw to provide e. Encourage fresh fruits and vegetable intake, raw if ing in mind the patient's food preferences. movements, and document. continuous access to fluids. possible, to add fiber. the turn. b. Have the patient assist by using a trapeze bar c. Have each person turn a section of the patient's body at a separate time d. Logroll the patient. e. Have one person at the patient's head to direct the turn. 25. To perform perineal care, you will place the patient in which position? a. Dorsal recumbent b. Trendelenburg c. Reverse Trendelenburg d. Sims 30. Which assistive device will you use to assist a patient with mild right-sided weakness as he moves from the bed to the wheelchair? a. Transfer belt b. Slide sheet c. Slide board d. Transfer board 26. Which position will you use for a patient in severe respiratory distress? a. Lithotomy b. Dorsal recumbent C. d. Semi-Fowler's 31. What is the purpose of assisting a patient to dangle? a. To increase blood flow to the feet and lower legs b. To determine if the patient can tolerate changing positions c. To allow time to assist the patient to put on a robe 27. When you assist a patient to a left lateral position, and slippers where will you place the additional pillows? a. Under the knees b. Between the knees and ankles and at the back c. At the right lateral thigh d. At the soles of the feet and at the back d. To evaluate circulation to all extremities

Explanation / Answer

24. (b) Help the patient choose well balanced meals, keeping in mind the patient's food preferences. As the patient is bed ridden there is less activity in the body eventually leading it to decrease peristalsis movement which is one of the cause for constipation. Choosing a well- balanced diet preferably fibre rich diet will help patient in constipation as well as gas.

25. (a)To perform a perineal care dorsal recumbent position is used as it exposes the majority perineal region and also it is comfortable and more easy to perform the procedure.

26. (c)In a severe respiratory distress an orthopneic position is given as it is in upright position with pillows supporting the head and chest.

27. (b)During the left lateral position the pillows are kept under the knees, ankles and at the back as those are the pressure points in which the decubitus ulcer are more prone.

28. (c)The patient should be moved to the left side of the bed first as we have to make some space towards the right side inorder to shift the patient towards the right side or else there may be risk for fall.

29. (d)I will log roll the patient as the patient has history of spinal surgery it is best to use log roll because it is used to move a patient without flexing the spinal column only legs and head is held to shift a patient in log roll.

30. (d)Transfer board is used to occupy a space between the bed and the wheelchair . It is used to transfer patient from bed to any other desired place.

31. (b)the purpose of assisting a patient to dangle is to determine if the patient can tolerate changing position.Patients are often bed ridden in the hospitals and sometimes they loose their physical strengths. Position changing is very important as it utilises the body muscles and prevents any bed sores.

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