Chapter 18: Safe Lifting, Moving, and Positioning of Patients Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition

1. The nurse uses professional knowledge
about body mechanics to prevent
the most common occupational
disorder in nurses, which is:
a. carpal tunnel
syndrome from
use of computer
keyboards in
nursing documentation.
b. shoulder and elbow
injuries
from moving patients.
c. knee injuries
from standing
for long periods.
d. back injuries
from lifting and
twisting.
 
2. The nurse assisting a weak patient
from a bed to the wheelchair to go
to physical therapy would:
a. seat the patient
on the side of
the bed with
feet touching
the floor.
b. place hands under
the patient’s
elbows to assist
in rising.
c. lock knees as
the patient is
lowered to the
chair.
d. assist the patient
to don a
robe after being
seated in the
wheelchair.
 
3. A frail older patient is able to stand
but not to ambulate. She has an order
to be up in a wheelchair as desired
during the day. A safe and appropriate
way to assist her up to a
chair is to:
a. use a mechanical
lift to transfer
her from the
bed to a chair.
b. assist her to
stand and pivot
to a chair at
right angles to
the bed, using a
transfer belt.
c. have another
staff member
help lift her out
of bed to the
chair on the
count of three.
d. place a chair
close to the bed
and use a slide
board to slide
her into it.
 
4. The charge nurse on the night shift
of a skilled nursing facility is orienting
a new aide to the unit. The
LPN’s most accurate information
relative to moving patients is:
a. “Most of your
assigned patients
are able
to move about a
little. Don’t
wake them to
change their positions
in bed if
they are sleeping.”
b. “When you get
Mrs. S up to the
toilet, be sure to
keep your feet
together and
your knees
locked, or she
will pull you
over.”
c. “Get one other
aide to help and
use the mechanical
lift when
you get Mr. A.
out of bed in the
morning. He is
heavy and
doesn’t assist at
all.”
d. “Use your back
muscles to lift—
that will
strengthen them
and make it easier
for you to lift
or move heavy
patients.”
 
5. The patient for whom passive
range of motion exercises would be
most beneficial would be the:
a. 66-year-old patient
with loss of
mobility related
to a recent cerebrovascular
accident
(CVA).
b. 72-year-old patient
with
chronic dementia
who alternately
sits in his
wheelchair and
wanders around
the unit.
c. 80-year-old patient
with
chronic lung disease
who can
breathe only
when he is sitting
in a tripod
position.
d. 94-year-old patient
with increasing
fatigue
and weight loss
who needs assistance
to ambulate.