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WorksheetsMobility/Activity/Restraints
Total questions: 9
Worksheet time: 5mins
You are admitting a patient with a hip fracture to your floor. The orders indicate that this patient should be turned by logrolling. Which statement regarding logrolling is correct?
Use a drawsheet or friction reducing sheet to facilitate smooth movement.
Logrolling can be used by one experienced nurse.
Logrolling will maintain straight alignment when the patient is sitting in a chair.
It is acceptable to twist the patient's head, but not the hips while logrolling.
How should the nurse stand when helping the patient sit up on the side of the bed?
To the dominant side of the patient, with legs together and one foot near the head of the bed.
Near the patient's hip with legs together.
Near the patient's hip, with legs shoulder width apart and one foot near the head of the bed.
To the nondominant side of the patient, with legs together and one foot near the head of the bed.
You are assisting a patient with limited mobility to turn in bed. After successfully turning the patient to the side, where would you place an additional pillow?
Under the patient's head.
Supporting the patient's back.
In front of the patient's abdomen.
Under the patient's feet.
You are admitting a patient considered to be a high fall risk. What interventions should be a priority to provide a safe environment for this patient? Select all that apply.
Use a bed alarm to signal when the client gets up.
Keep all bed rails up at night.
Use a chair alarm when the patient is out of bed.
Keep the patient's bedroom slippers at the bedside for easy reach.
Hold diuretic medications.
You are caring for a 76 year old patient who has an unsteady gait. Which method is most appropriate to assist in transferring?
Roller sheet
Transfer belt
Mechanical lift
Transfer boards
You are applying graduated compression stockings to the legs of a post surgical patient. The patient suddenly complains of sharp pain in his left leg as you are unrolling the stocking. What is the most appropriate action?
Roll back the stocking and apply padding over the tender area.
Stop applying the stocking and reattempt in 30 minutes.
Apply the stocking, administer analgesia to the patient, and then inform the primary care provider.
Assess the patient's leg for signs and symptoms of deep vein thrombosis and inform the primary care provider.
Two nurses are moving a patient up in bed. What motion would the nurses use to counteract the patient's weight?
Rock the patient back and forth to raise the patient up in bed.
The nurses should shift their weight from the legs to the back muscles.
Turn the patient from side to side while pushing upward.
The nurses should shift their weight back and forth, from back leg to front leg.
The nurse is providing care to a patient confined to a bed. To promote independence while the patient is moving in bed and provide the patient assistance in moving up in bed, which device would be appropriate?
Trochanter roll
Bed trapeze
Foot board
bed cradle
Despite all efforts, restraints may be the only solution in some instances. Which statements regarding the use of restraints is true? Select all that apply.
Constant re-evaluation of the need for restraint is vital.
Careful patient assessment is needed to develop creative alternative strategies.
Agency policy, The Joint Commission, and state and federal guidelines require an order from a physician or a licensed independent practitioner for restraint.
In long term care facilities, residents may be restrained without notification of family.
Restraints may be applied without an order if the situation is an emergency and the threat to safety is imminent. However, an order must be obtained immediately afterward.
