A staff education nurse is evaluating a group of nurses during a new employee orientation on the use of proper body mechanics when lifting. Which of the following images indicates the appropriate use of ergonomic principles?
A.
B.
C.
D.
A
B
C
D
None
None
The Correct Answer is C
A. This is incorrect since the load should be held as close to the nurse's center of gravity (the pelvis) as possible.
B. This is incorrect since the back should remain straight or in its natural "S" curve throughout the lift. The power for the lift should come from the gluteal and femoral muscles, not the back.
C. This is correct since the nurse is squatting and bending at the knees, keeping the back straight. Bending at the knees and hips to engage stronger leg muscles rather than the lower back. The object should also be kept close to the torso, not held at arm’s length, shoulders aligned, no twisting of the trunk, and the eyes forward, head aligned with the spine.
D. This is incorrect since the feet placement should be a wide base of support, one foot slightly ahead of the other. The back alignment includes the spine kept straight, no twisting or bending at the waist. Knees should be bent to lower the body, rather than bending forward.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Reposition the client sideways each hour: Repositioning helps prevent pressure injuries, promotes even distribution of the anesthetic, and reduces the risk of unilateral block or venous stasis, which is especially important after epidural placement.
B. Have protamine sulfate available at the bedside: Protamine sulfate is an antidote for heparin, not epidural anesthesia. It has no role in managing side effects or complications related to an epidural.
C. Monitor the client for hypertension: Epidural anesthesia commonly causes hypotension due to vasodilation. The nurse should monitor for low blood pressure, not elevated readings.
D. Decrease the maintenance infusion rate of IV fluid: IV fluids are often increased prior to and after epidural placement to counteract potential hypotension. Reducing the rate could worsen the risk of low blood pressure.
Correct Answer is C
Explanation
A. Remove the peripheral IV site: The IV site should be maintained with normal saline to keep access open for potential emergency medications or further treatment. Removing it too early may hinder urgent intervention.
B. Infuse 0.9% sodium chloride through the infusion set tubing: Normal saline should be infused after stopping the transfusion, but it must be done through new tubing to avoid continued exposure to the blood product.
C. Stop the transfusion of the blood: Itching and flushing are signs of a mild allergic transfusion reaction. The immediate priority is to stop the transfusion to prevent the reaction from progressing. This action helps prevent further antigen exposure.
D. Monitor the client's vital signs every 30 min: While vital sign monitoring is important, it is not the first or most urgent action. The priority is to stop the transfusion and address the reaction promptly.
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