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 ["B","D","E"]

Explanation

A. Diarrhea: Diarrhea is not a typical finding associated with immobility. In fact, immobility often leads to constipation due to decreased gastrointestinal motility. Factors such as diet and medication can influence bowel habits, but diarrhea is not a direct complication of immobility.

B. Contractures of the extremities: Contractures are a common complication of immobility. When a joint is not moved regularly, the muscles and tissues can shorten, leading to stiffness and loss of mobility in the affected area. This is especially common in patients who are bedridden or have limited range of motion.

C. Polyuria: Polyuria, or increased urine output, is not typically associated with immobility. Immobility can lead to decreased kidney function and fluid retention, potentially resulting in oliguria (decreased urine output) rather than polyuria.

D. Pressure ulcers: Pressure ulcers, also known as bedsores, are a significant risk for individuals with limited mobility. They develop due to prolonged pressure on the skin, particularly over bony prominences, leading to skin breakdown and tissue damage. Regular repositioning and skin care are essential to prevent this complication.

E. Crackles in the lungs: Crackles can be heard during auscultation in patients who are immobile. They may develop due to fluid accumulation in the lungs, atelectasis (collapse of lung tissue), or pneumonia, which are all more likely to occur in individuals with limited mobility. Immobility can impair respiratory function, leading to these complications.

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

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is experiencing complications due to immobility. Which of the following findings should the nurse expect? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

The nurse is providing care to a client admitted with pressure injuries. The nurse develops a plan of care focusing on healing measures and prevention of further injury. Which task does the nurse delegate to the nursing assistive personnel (NAP)?

Correct Answer is A

Explanation

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A nurse is preparing a poster presentation about communicating with clients. Which of the following strategies should the nurse include to enhance communication? (Select All that Apply.)

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