When preparing to move a patient in bed with the help of an assistant, which posture will both caregivers use to ensure their own safety?

Stand with the knees locked.

Flex the hips and knees.

Shift the body weight from the front leg to the back leg.

Stand with the feet together.

Answer and Explanation

The Correct Answer is B

A. Stand with the knees locked: Locking the knees can lead to instability and increase the risk of injury to both caregivers. It is important to maintain flexibility in the knees to facilitate movement and maintain balance while performing transfers.

B. Flex the hips and knees: This posture helps both caregivers maintain a low center of gravity and utilize their leg muscles for lifting and moving, which is essential for preventing injury. By bending at the hips and knees, caregivers can exert more force while reducing the strain on their backs, ensuring a safer transfer for both the patient and themselves.

C. Shift the body weight from the front leg to the back leg: While shifting body weight is important during lifting, it is more effective when done in conjunction with bending at the hips and knees. This option does not provide the most optimal posture for lifting and moving the patient safely.

D. Stand with the feet together: Standing with feet together decreases stability and balance, which can increase the risk of falling or injury during a transfer. Caregivers should stand with their feet shoulder-width apart to enhance their base of support and provide better stability while moving a patient.

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Correct Answer is C

Explanation

A. Bright red, bloody fluid: Bright red fluid indicates fresh blood, which is typically seen in the initial drainage from a surgical site or in cases of active bleeding. This type of drainage is not characteristic of serous fluid and may suggest a complication that requires further assessment.

B. Thick, green fluid: Thick, green fluid often indicates the presence of infection or pus, which would be classified as purulent drainage rather than serous. Serous drainage should not have a thick consistency or a green color, as this would suggest an inflammatory process or infection.

C. Clear, watery fluid with a pale yellow tint: This describes serous drainage, which is typically light in color and has a watery consistency. Serous fluid is a normal finding in the early stages of wound healing, as it contains plasma and does not indicate infection or excessive bleeding.

D. Milky, white fluid: Milky or cloudy fluid can indicate the presence of chyle (lymphatic fluid) or infection, which is not characteristic of serous drainage. Serous fluid should not appear milky, as this would suggest a different underlying issue that may need to be investigated further.

A. Turn and reposition the patient every 2 hours. B. Apply hydrocolloid dressing to the pressure injury. C. Change pressure injury dressings every shift. D. Assess the patient's skin condition.

Correct Answer is A

Explanation

A. Turn and reposition the patient every 2 hours: This task can be delegated to nursing assistive personnel (NAP). NAPs are trained to assist with basic patient care tasks, including turning and repositioning patients to prevent pressure injuries and promote comfort.

B. Apply hydrocolloid dressing to the pressure injury: This task should not be delegated to NAPs, as applying dressings requires knowledge of wound care principles and techniques, which falls under the scope of nursing practice.

C. Change pressure injury dressings every shift: Changing dressings is a nursing responsibility that requires assessment and skill in managing wound care. This task should be performed by the nurse to ensure proper technique and evaluate the wound condition.

D. Assess the patient's skin condition: Skin assessment is a nursing responsibility that requires clinical judgment and expertise. The nurse must assess the skin to identify any changes or complications related to pressure injuries, which should not be delegated to NAPs.

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When preparing to move a patient in bed with the help of an assistant, which posture will both caregivers use to ensure their own safety?

Nursing Test Bank

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What color and consistency would you expect serous drainage from a Jackson-Pratt (JP) drain to have?

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Correct Answer is A

Explanation

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