Author Question: In applying for a job on a nursing unit that requires frequent patient positioning, the nurse should ... (Read 23 times)

anjilletteb · **on:** Jul 23, 2018

In applying for a job on a nursing unit that requires frequent patient positioning, the nurse should be aware that nurses

a. Are at low risk for back injury.
b. Are especially at risk for high back injuries.
c. Should be aware of agency policies.
d. Should not need to use assistive devices.

Question 2

The nurse is caring for a patient who cannot bear weight but needs to be transferred from the bed to a chair. The nurse opts to use a mechanical lift (Hoyer lift). The nurse understands that when this lift is used, the

a. Straps need to be removed before lowering the patient to the chair.
b. Horseshoe-shaped base should be on the opposite side from the chair.
c. Longer straps hook to the bottom of the sling.
d. Short straps are hooked to the bottom of the sling.

Juro · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
Nurses and other health care staff are especially at risk for injury to lumbar muscles when lifting, transferring, or positioning immobilized patients. Therefore, the nurse should be aware of agency policies and protocols that protect staff and patients from injury. Current evidence supports that using mechanical or other ergonomic assistive devices is the safest way to reposition and lift patients who are unable to do these activities themselves.

Answer to Question 2

ANS: C
The nurse should attach the hooks on the strap to the holes in the sling. Short straps hook to top holes of the sling; longer straps hook to the bottom of the sling. This prevents the sling from flipping upside down. The horseshoe-shaped base goes under the side of the bed on the side with the chair. Position the patient and lower slowly into the chair in accordance with manufacturer guidelines to safely guide the patient into the back of the chair as the seat descends; then remove the straps and the mechanical/hydraulic lift.