WorksheetsHST: Positioning, Turning, Moving, and Transferring Patients
Total questions: 1
Worksheet time: 30mins
What should a healthcare provider do after transporting the patient and returning to the unit?
Take a break before attending to another patient.
Put on gloves, strip the bed, and remove any equipment in the unit.
Immediately assist another patient.
Leave the unit as it is for housekeeping to clean.
What should you do with the patient's belongings when preparing to transport them out of the facility?
Leave them in the patient's room.
Place them on a cart, if needed, and take them to the car.
Give them to another patient for safekeeping.
Dispose of them according to facility policy.
What should be done after the patient has been transported to the exit area and helped into the car?
The staff member should take a break.
The patient should be instructed to drive home safely.
Another staff member should take the cart to the car.
The patient's belongings should be left at the facility.
Why is it important to use correct body mechanics when moving or turning a patient?
To ensure the patient's room is kept clean.
To prevent the patient from feeling uncomfortable.
To prevent fatigue and pressure ulcers in the patient.
To comply with the patient's personal preferences.
What should a health care provider do if they are unsure whether a patient can be moved or transferred safely?
Move the patient without asking.
Ask a relative of the patient for advice.
Always ask their supervisor before attempting any procedure.
Transfer the patient immediately to another facility.
What is a characteristic of a Stage I pressure ulcer?
A deep open crater forms when all layers of the skin are destroyed.
Damage extends into the muscle, tendon, and bone tissues.
It has a red or blue-gray discoloration that does not disappear after pressure has been relieved.
It is characterized by abrasions, bruises, and/or open sores as a result of tissue damage to the top layers of the skin.
Which stage of pressure ulcer is characterized by abrasions, bruises, and/or open sores as a result of tissue damage to the top layers of the skin?
Stage I
Stage II
Stage III
Stage IV
At which stage of pressure ulcer does a deep open crater form when all layers of the skin are destroyed?
Stage I
Stage II
Stage III
Stage IV
What does Stage IV pressure ulcer damage extend into?
Only the epidermis and dermis
The muscle, tendon, and bone tissues
Just the fat and muscle tissues
Only the top layers of the skin
What is an effective way to prevent pressure ulcers?
Ignoring skin discoloration
Using a single type of support surface
Providing good skin care and using moisture-reducing surfaces
Keeping the patient in one position for extended periods
What should be done if a pale, reddened, or blue-gray area is noted on the skin during bathing or turning of a patient?
It should be ignored until it develops into an open sore.
It should be reported and documented immediately.
It should be massaged vigorously.
It should be covered with a bandage and left unchecked.
How are Stage I and Stage II pressure ulcers often treated?
With continuous lateral rotation beds only.
With alternating air pressure mattresses only.
With special foam or hydrocolloid dressings.
By keeping the patient in one position.
What is the purpose of using a vacuum-assisted closure (VAC) on a wound?
To increase the pressure on the wound
To promote healing and prevent negative pressure
To promote healing and prevent infection by applying negative pressure
To remove the need for frequent dressing changes
What is a contracture as described in the text?
An increase in muscle size due to exercise
A tightening or shortening of a muscle caused by lack of movement or usage of the muscle
A type of wound that requires special dressings
A method for treating stage III and IV ulcers
Which of the following can be used to prevent a foot drop contracture?
High-top tennis shoes
Alternating air pressure mattress
Vacuum-assisted closure (VAC)
Transparent adhesive film
What is the function of an alternating air pressure mattress?
To keep the foot at a right angle and prevent contractures
To provide a constant temperature to the patient's skin
To constantly change the pressure points against a patient’s skin
To suction exudate and infectious materials from a wound
What is the purpose of placing a pillow or rolled blanket under the lower legs of a patient lying on their back?
To keep the patient's feet warm.
To elevate the bed to a comfortable height.
To provide support and keep the heels off the bed.
To support the upper arm, flexed at the elbow.
What do foot protectors help prevent?
Cold feet.
Slipping off the bed.
Pressure ulcers on the heels.
Swelling of the feet.
When aligning a patient who is lying on their side, where should the nurse assistant place a firm pillow or rolled blanket?
Under the patient's head and neck.
Between the patient's legs.
Under the patient's lower legs.
On the patient's abdomen.
What should be checked before leaving the patient after alignment?
If the patient's shoes are on.
If the bed is at the lowest height.
If the patient's bony prominences are exposed and all body parts are supported.
If the patient's toes are pointing upward.
What should be used to keep the patient's feet at right angles (90 degrees) to the legs when positioned on the side?
A small pillow
Rolled washcloths or foam rubber balls
A footboard, pillow, rolled blanket, or high-top tennis shoes
Protector pads
When aligning a patient who is lying on the abdomen, where should a small pillow be placed to support the waist?
Under the ankles
Under the head
Under the lower legs
Under the waist
What is the purpose of placing a firm pillow under the lower legs when a patient is in the prone position?
To keep the feet at right angles
To support the back and abdomen
To slightly flex the knees
To prevent bedsores
What should be done with the patient's arms when they are lying in the prone position?
Place the arms straight by the sides
Place the arms in line on either side of the head
Cross the arms over the chest
Place the arms above the head
What should be done to prevent injury to the patient's head while moving them up in bed?
Lock the bed wheels and lower the side rails.
Place a pillow against the headboard of the bed.
Ask the patient to flex their knees and brace both feet firmly on the bed.
Roll the edges of the lift sheet inward close to both sides of the patient's body.
What is the correct procedure if a patient shows signs of respiratory distress while being moved?
Continue moving the patient carefully.
Immediately raise the head of the bed and check with your supervisor.
Ask the patient to take deep breaths and relax.
Lower the head of the bed and remove all pillows.
When coworkers are moving a patient up in the bed, what should each person do to ensure a safe patient move?
Each person should stand at one end of the bed only.
Each person should face the foot of the bed and get a broad base of support.
Each person should face the head of the bed and get a broad base of support.
Each person should stand on the same side of the bed.
What should you do if you are not able to move the patient by yourself when turning the patient away to change position?
Try to move the patient regardless to complete the procedure.
Leave the patient and report to a supervisor later.
Move the patient only partially and then seek help.
Get help from a coworker.
Before turning the patient away to change position, what safety precaution should be taken regarding the bed's siderails?
Ensure that all siderails are lowered.
Make sure the opposite siderail is raised and locked securely.
Remove the siderails completely.
Only the siderail farthest from you should be locked.
What should you do after elevating the siderails and before leaving the patient?
Wash hands and remove gloves
Ensure all needed supplies are within easy reach of the patient
Place a pillow behind the patient's back
Report that the patient has been turned
What should you do after turning a patient and before leaving the area?
Remove gloves and wash hands
Knock on the door and introduce yourself
Provide privacy by closing the door
Obtain permission from your supervisor
After turning a patient, what should you do with the information regarding the turn?
Immediately inform the next of kin
Record all required information on the patient's chart or enter it into the computer
Discard the gloves in a biohazard bin
Leave the area without recording anything
What is the purpose of the practice evaluation sheet for 22:2C, Turning the Patient Away to Change Position?
What is the first step in the procedure for turning the patient inward to change position?
Wash hands and put on gloves
Provide privacy by closing the door
Obtain permission from your immediate supervisor or check orders
Place a pillow behind the patient's back
What should be placed behind the patient's back to ensure good body alignment when turning the patient inward?
A lift sheet
A bath blanket
Pillows
A footstool
What should be done with the bed after the patient has been turned in the bed?
Lock the bed wheels
Elevate the bed to its highest level
Lower the bed to its lowest level
Leave the bed at the current height
What is the purpose of locking the bed wheels before sitting a patient up to dangle?
To prevent the patient from standing up
To prevent movement of the bed
To elevate the bed to the highest level
To check the patient's radial pulse
When repositioning a patient in bed, what should you place around the patient's shoulders and knees to rotate them toward the side of the bed?
A bedsheet
Your arms
A bath blanket
A support belt
What is the first thing you should do if you notice any signs of distress, such as pale color, increased perspiration, labored respirations, weakness, dizziness, or nausea, while checking the patient's radial pulse?
Instruct the patient to flex and extend the legs
Slowly lower the head of the bed
Return the patient to the original position in bed; lying down in bed.
Remove the patient's robe and slippers
What should be done to ensure the patient's safety before leaving after repositioning them?
Observe all checkpoints, such as elevated siderails, lowest bed level, call signal and other supplies within easy reach, and a neat and clean area
Instruct the patient to flex and extend the legs
Remove gloves and wash hands
Slowly lower the head of the bed
What should be done after positioning the wheelchair or chair and before moving the patient?
A) Double-check the locks on the wheelchair
B) Ask the patient to stand up
C) Move the patient immediately
D) Remove the transfer belt
What should be done if siderails are present and elevated when preparing to transfer a patient to a wheelchair?
A) Leave them as they are
B) Raise them further
C) Lower the siderail on the side the patient is to exit from
D) Double-check the locks on the siderails
When transporting a patient in a wheelchair, what is one of the rules to follow in the hallway or corridor?
Walk on the left side of the hall
Walk quickly to avoid blocking traffic
Walk on the right side of the hall or corridor
Ignore other traffic at doorways and intersections
Before beginning the procedure of transferring a patient to a stretcher, what is important to determine when multiple assistants are involved?
The weight of the patient
The tasks each assistant will perform
The type of stretcher to be used
The time it will take to complete the transfer
What should be done to the bed before transferring a patient to a stretcher?
Elevate the bed to the level of the stretcher and lock the wheels
Lower the bed to the ground level
Remove the bed's side rails completely
Tilt the bed at a 45-degree angle
What is the purpose of locking the wheels of the stretcher during the transfer procedure?
To allow the stretcher to move easily
To prevent the stretcher from moving
To adjust the height of the stretcher
To make the stretcher more comfortable for the patient
If the patient is conscious and capable of moving unassisted, what should they do during the transfer to the stretcher?
Hold up the bath blanket and push against the stretcher
Slide from the bed to the stretcher, holding the stretcher against the bed
Wait for the assistants to move them entirely
Lock the wheels of the stretcher themselves
What should be done if the patient is very weak, paralyzed, semiconscious, or unconscious during the transfer?
Proceed with only one assistant
Transfer the patient without a lifting sheet or blanket
Obtain the assistance of three or four other team members
Move the patient without locking the stretcher wheels
When transporting a patient on a stretcher, how should the stretcher be directed?
One person at the head and one at the foot, moving sideways
Two persons at the head directing the stretcher
Two persons at the foot directing the stretcher
One person at the head and one at the foot, directing the stretcher
What is the correct procedure for entering an elevator with a stretcher?
Enter head end first and push the button to close the door
Back the stretcher into the elevator so that the head end enters first
Push the stretcher in foot end first without pressing any buttons
Back the stretcher into the elevator so that the foot end enters first
