Author Question: The nurse working with a new nursing assistive personnel (NAP), is explaining about the importance ... (Read 82 times)

kshipps · **on:** Jul 22, 2018

The nurse working with a new nursing assistive personnel (NAP), is explaining about the importance of repositioning immobile patients to prevent pressure ulcers. At a minimum, the nurse tells the NAP to reposition patients how often?

a. Every 2 hours
b. Every 3 hours
c. Every 4 hours
d. Once every shift

Question 2

The nurse manager is concerned with the safety of the staff as they transfer patients. Facility policy reinforces the principles of appropriate body mechanics, which include which of the following? (Select all that apply.)

a. A wide base of support increases stability
b. A higher center of gravity increases stability
c. Facing the direction of movement prevents abnormal twisting of the spine
d. Pivoting requires less work than lifting
e. Manually lift the patient in sections
f. Dividing balanced activity between arms and the legs

katkat_flores · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Immobilized patients require vigilant nursing care, such as repositioning at least every 2 hours, to avoid physical complications. Every 3 or 4 hours or once every shift is too long.

Answer to Question 2

A, C, D, F
Principles of body mechanics include the following: A wide base of support increases stability; a lower center of gravity increases stability; the equilibrium of an object is maintained when the line of gravity passes through its base of support; facing the direction of movement prevents abnormal twisting of the spine; dividing balanced activity between arms and legs reduces the risk for back injury; and leverage, rolling, turning, or pivoting requires less work than lifting. Manual lifting is the last resort, and it is only used when it does not involve lifting most or all of the patient's weight.