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Author Question: The nurse needs to reposition a 300-lb patient. Which of the following strategies is most likely to ... (Read 90 times)

asd123

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on: Jul 23, 2018
The nurse needs to reposition a 300-lb patient. Which of the following strategies is most likely to prevent back injury?
 
  a. Turn the patient alone using the lift pad and applying pillows.
  b. Put the bed in Trendelenburg and pull from the head of the bed.
  c. Assess and obtain the number of people needed to help.
  d. Bend at the waist and pull the lift pad using the arms.

Question 2

The nurse is caring for a patient who has had a stroke causing total paralysis of the right side. To help maintain joint function and to prevent contractures, passive ROM will be initiated. When should therapy begin?
 
  a. After the acute phase of the disease has passed
  b. As soon as the ability to move is lost
  c. Once the patient enters the rehab unit
  d. No ROM is needed.


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bd5255

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Assess and determine the number of people needed; to prevent injury, do not start until the task can be completed safely. Assess the situation and do not turn the patient alone if this cannot be done safely. The trunk should be erect and the knees bent, so that multiple muscle groups (not just the arms) work together in a coordinated manner. This is not a one-person task: DO NOT PULL FROM THE HEAD OF THE BED.

Answer to Question 2

ANS: B
Passive ROM exercises should begin as soon as the patient's ability to move the extremity or joint is lost. The nurse should not wait for the acute phase to end. It may be some time before the patient enters the rehab unit, and contractures could form by then. ROM is certainly needed in this patient.


asd123

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


bd5255

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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