What should the nurse do to demonstrate proper body mechanics
when assisting a client to a standing position from a sitting
position? (Select all that apply.)
Rock their own body weight as they pull the client up towards
them.
Keep their own knees locked as they lift the client in a smooth
motion.
Stand in front of the client, move their own feet apart and bend
at the knees.
While standing behind the client, secure their own arms around
the client's chest and lift upward.
,Assess the client and determine whether or not another care
provider is needed to assist. - --ANSWER---Rock their own
body weight as they pull the client up towards them.
Stand in front of the client, move their own feet apart and bend
at the knees.
Assess the client and determine whether or not another care
provider is needed to assist.
Rationale
Pulling is easier than lifting and the momentum by rocking the
nurse's body uses that body weight to enhance the force of arm
muscles. Moving feet apart widens the base of support and
bending knees lowers the center of gravity. These actions are
elements of safe body mechanics. When possible, use teams to
lift clients ast is decreases the incidences of lower back injuries
in healthcare workers and is safer for the client.
Which assessment data would provide the most accurate
determination of proper placement of a nasogastric tube?
A) Aspirating gastric contents to assure a pH value of 4 or less.
, B) Hearing air pass in the stomach after injecting air into the
tubing.
C) Examining a chest x-ray obtained after the tubing was
inserted.
D) Checking the remaining length of tubing to ensure that the
correct length was inserted. - --ANSWER---C) Examining a
chest x-ray obtained after the tubing was inserted
Both (A and B) are methods used to determine proper placement
of the NG tubing. However, the best indicator that the tubing is
properly placed is (C). (D) is not an indicator of proper
placement
The nurse is assessing a client for risk of falls. Which client
behavior would be the most informative to the nurse?
The client transfers unassisted from the bed to a chair next to the
bed.
The client changes positions in bed from a prone position to
sitting upright at 45 degrees.
The client is able to rise from a chair without using arms for
support and walk 10 feet and turn around.
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