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A postoperative patient has been instructed by a nurse about the importance of moving in bed but is still avoiding movement.The nurse should:


A) avoid moving the patient until he or she is motivated.
B) have family members move the patient around.
C) decrease the frequency of movement to be performed.
D) medicate the patient with a prescribed analgesic before moving.

E) All of the above
F) C) and D)

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To assist the patient to a sitting position on the side of the bed,what should the nurse do first?


A) Raise the height of the bed.
B) Raise the head of the bed 30 degrees.
C) Turn the patient onto the side facing away from the nurse.
D) Move the patient's legs over the side of the bed.

E) A) and C)
F) None of the above

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Positioning of patients to maintain correct body alignment is essential to prevent which of the following complications? (Select all that apply. )


A) Thrombus
B) Pressure ulcer
C) Kyphosis
D) Contractures

E) All of the above
F) None of the above

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The patient is an elderly male with severe kyphosis who is immobile from a stroke several years earlier.He has been admitted for severe dehydration.The nurse must turn the patient frequently to prevent complications of immobility.What does the nurse realize?


A) This patient should be turned onto his back for meals.
B) This patient may have to be turned more frequently than every 2 hours.
C) This patient may be allowed to remain in his favorite position as long as he doesn't complain of discomfort.
D) Skin breakdown is not an issue for this patient.

E) C) and D)
F) B) and C)

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B

The nurse needs to transfer the patient from the bed to the stretcher.The patient is unable to assist.Of the following,which would be the best technique for transferring the patient?


A) Using three nurses and a slide board
B) Using the three-person lift technique
C) Raising the head 30 degrees
D) Having the patient keep arms to the side

E) B) and D)
F) A) and B)

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The coordinated effort of the musculoskeletal and nervous systems in maintaining balance,posture,and body alignment is known as _______________.

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body mechanics
Body mechanics is the coo...

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A nurse should be aware of safety measures to prevent personal injury when lifting or moving patients.An appropriate principle to follow is:


A) bend at the waist for lifting.
B) tighten the stomach muscles and pelvis.
C) keep the weight to be lifted away from the body.
D) carry or hold the weight 1 to 2 feet above the waist.

E) B) and C)
F) A) and D)

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In positioning the patient in the prone position,one way to improve breathing is to:


A) support the arms in a flexed position level at the shoulders.
B) place a pillow under the lower legs.
C) place a small pillow under the patient's abdomen.
D) support the patient's head with a small pillow.

E) A) and D)
F) None of the above

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An appropriate technique for the nurse to implement when moving a patient out of bed to a chair with a mechanical lift is to:


A) lower the height of the bed.
B) lower the head of the bed.
C) place the sling from shoulders to knees.
D) keep the check valve open when the patient is seated in the chair.

E) A) and B)
F) A) and C)

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To transfer the patient who has normal weight bearing and upper body strength out of bed to a chair,what should the nurse do?


A) Grab the patient under the axilla to lift.
B) Have the patient move forward with the weak side.
C) Have the patient put on shoes with nonskid soles.
D) Place the chair in a position 90 degrees opposite the bed.

E) B) and C)
F) A) and B)

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The nurse realizes that her patient needs to improve his or her mobility as quickly as possible.This is because the nurse realizes that mobilization: (Select all that apply. )


A) improves joint motion.
B) decreases circulation.
C) increases social activity.
D) enhances mental stimulation.

E) All of the above
F) B) and C)

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Which of the following risk factors contribute to complications of immobility? (Select all that apply. )


A) Paralysis
B) Traction
C) Arterial insufficiency
D) Incontinence
E) Constipation

F) B) and D)
G) All of the above

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A nurse is reviewing the patient assignment for the day.Of all the patients,which individual has the greatest potential for injury during transfers?


A) Diabetes mellitus
B) Myocardial infarction
C) A cerebrovascular accident
D) An upper extremity fracture

E) A) and C)
F) A) and B)

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The term _____________ refers to the conditions of the joints,tendons,ligaments,and muscles in various body positions.

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body alignment The term body alignment refers to the conditions of the joints,tendons,ligaments,and muscles in various body positions.When the body is aligned,whether standing,sitting,or lying,no excessive strain is placed on these structures.

Proper alignment for a patient in sitting position includes which of the following? (Select all that apply. )


A) Head erect
B) Four-inch space between edge of seat and popliteal space
C) Vertebrae straight
D) Both feet elevated

E) A) and B)
F) A) and C)

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Body balance is achieved when a wide _____________ exists.

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base of support
Body balance is achieved...

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The most prevalent and debilitating occupational health hazard among nurses is:


A) footdrop.
B) pressure ulcers.
C) musculoskeletal disorders.
D) contractures.

E) A) and B)
F) A) and C)

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An appropriate procedure to use when moving a patient up in bed is for the nurse to:


A) raise the head of the bed.
B) start by flexing the patient's knees and hips.
C) place a pillow under the patient's shoulders.
D) instruct the patient to inhale and hold still.

E) A) and B)
F) C) and D)

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The nurse plans to use a trochanter roll when repositioning a patient.Where should the nurse place the trochanter roll?


A) Under the small of the back
B) Behind the knees when supine
C) Alongside the ilium to mid-thigh
D) In the palm of the hand with fingers flexed

E) A) and B)
F) A) and C)

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The patient is an elderly man who has just been admitted for a probable cerebrovascular accident.The patient is nonverbal and does not respond to requests but is able to turn himself in bed.The nurse notices that the patient likes to lie on his right side,and soon after being turned by the nursing staff,the patient turns back to his right side.The nurse in this case should:


A) allow the patient to lie on his right side continuously because he seems comfortable.
B) prevent the patient from lying on his right side until he no longer wishes to lie on that side.
C) frequently assess the patient and turn him more frequently.
D) allow the patient to lie on his right side until a pressure ulcer develops and he can no longer lie on that side.

E) A) and D)
F) A) and C)

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C

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