Patient Care in Hospital Settings and Nursing Homes
Questions And Answers 100% Correct
why is positioning of a patient important in his recovery? ANSWER It provides relief of
pain; improves mechanical advantage for certain activities; enhances GI and
respiratory function; promotes comfort; prevents deformity
what are the reasons for repositioning a patient? ANSWER To promote comfort; to
relieve pressure on one part of the body; to stimulate circulation; to prevent strain on
the muscles and joints; to enhance treatments such as range of motion exercises
who is at risk for pressure ulcers? ANSWER clients who are confined to beds, clients
who are immobile due to fractures, sedation and paralysis and incontinent clients
where do pressure ulcers most likely occur? ANSWER over boney prominences
including heels, knees, hips, sacrum and back of the head
what is the supine position? ANSWER the patient lies flat on their back with pillows for
prevention of foot drop and comfort
describe the prone position - ANS The patient is positioned on their abdomen with their
head turned to the side and pillows may be used to align the lower legs
describe the Sims position - ANS The patient is positioned between supine and prone.
The legs are flexed and a pillow is placed under the top leg. This position is often used
for enemas
what is the lateral position? -ANSWER client lies to one side with top leg being flexed
over bottom leg, this relieves pressure on coccyx
what is Fowler's position? -ANSWER head of bed is elevated to a 45 to 90-degree angle
to promote lung expansion and to prevent aspiration
,describe semi-fowler's position - ANSWER the head of the bed is raised to a 30 to 45
degree angle, utilized for cardiac, respiratory, or neurological disorders
What is Trendelenburg position? - ANSWER the head of the bed is lower than the feet,
this is used to increase venous return during an emergency
What is the tripod (orthopneic) position? ANSWER The patient sits forward with elbows
on knees or a table to allow maximum chest expansion for the dyspneic patient
How can supportive devices aid in positioning? ANSWER Pillows, rolls, and blankets
maintain body alignment and comfort for patients who experience limited mobility
Repositioning: what are the types of precautions? -ANWER Provide appropriate body
alignment and avoid pressure on bony prominences as well as use supportive devices
that add to comfort and safety
What is the primary purpose for repositioning a bedridden patient? - ANWER Maintain
body alignment, prevent pressure injury, foot drop, and contracture; increase comfort
what is the consequence of extended periods of immobility? - ANWER atonic muscles,
muscle atrophy, and the increased risk of pressure ulcers
what equipment may never be used except upon order? - ANWER splints and traction
devices
for what does the prone position work particularly well? - ANWER this position may
enhance oxygenation status in certain medical conditions like COVID-19
Lateral position: For what reason is a pillow placed under the top arm? ANSWER For
comfort and to take pressure off of the shoulder and arm.
, How does Fowler's position compare to Semi-Fowler's? ANSWER Fowler's position, the
head of the bed is elevated at 45 to 90 degrees. The SemiFowler's is a variation and at a
30 to 45 degree elevation.
Trendelenburg position is used when - ANS In conditions where there is severe
hypotension and medical emergency. This position encourages venous return.
The general uses of the Sims position are - ANS It is utilized in procedures such as
enemas and examining the perineal area.
What should be monitored when the patient is in the lateral position to avoid
complications? -ANSWER Ensure the patient does not lie on their arm to avoid
neurological insult
Why is the tripod position useful for patients who have difficulty breathing? -ANSWER
This allows for maximum chest expansion, thereby improving lung function and air
exchange
why is bathing important for patients? - ANS bathing removes perspiration, oil and
microorganisms from skin, promotes circulation and increases self-esteem related to
appearance
also provides opportunities for socialization
what does the caregiver assess during bathing? - ANS assess skin colour, texture,
temperature, turgor, look for areas of redness or skin breakdown particularly over bony
prominences
what types of baths can be provided to patients? ANS complete bed bath, partial bed
bath, therapeutic bath, shower, and tub bath
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