Mobility

A patient has an injury to the right leg and is using a cane to ambulate. Which of the following observations would cause the nurse to intervene?

• The patient has the cane in his left hand.

• The patient has the cane on his right side.

• The patient's elbow is bent 20-30 degrees.

• The top of the cane is level with the inside if the patient's wrist.

Which of the following observations indicates that the patient has a proper understanding of how to use crutches following a knee surgery?

• The patient is bearing weight under her arms.

• The patient states she is going to borrow crutches from a friend.

• The patient places her weight on the handles of the crutches.

• The patient states that it is not necessary to inspect her crutches every day.

A nurse is orienting a new graduate nurse and observes the graduate nurse attempting to transfer the patient from a chair back to the bed. Which of the following actions indicates the new nurse has proper understanding of safe patient transfer?

• The new graduate nurse pivots at the waist when moving the patient.

• The new graduate nurse stands one foot away from the patient to allow the patient to grab her arms.

• The graduate nurse keeps her knees straight and bends at the waist.

• The new graduate nurse stands close to the patient and keeps her back straight.

What is the priority action in preventing an immobile patient from developing a deep vein thrombosis (DVT)?

• Turning the patient every 2 hours

• Assessing the patient's lower extremities every hour

• performing passive range of motion on the patient's extremities throughout the shift

• Ensure that the patient drinks plenty of fluids throughout the day

The nurse just received a bariatric patient who is immobile. Which of the following interventions are appropriate for safely transferring the patient from the stretcher to the bed?

• The nurse grabs a slide board to help transfer the patient.

• The nurse asks one other nurse for help on the other side of the bed.

• The nursing staff utilize a draw sheet to transfer the patient.

• The nursing staff ensure that they bend at the waist to help create leverage.