A nurse is preparing to reposition a patient. Which task can the ...

[jlmhmf]

A nurse is preparing to reposition a patient. Which task can the nurse delegate to the nursing assistive personnel?
 
  a. Determining the level of comfort
  b. Changing the patient's position
  c. Identifying immobility hazards
  d. Assessing circulation

Question 2

A nurse is performing passive range of motion (ROM) and splinting on an at-risk patient. Which finding will indicate goal achievement for the nurse's action?
 
  a. Prevention of atelectasis
  b. Prevention of renal calculi
  c. Prevention of pressure ulcers
  d. Prevention of joint contractures

[millet]

Answer to Question 1

ANS: B
The skill of moving and positioning patients in bed can be delegated to nursing assistive personnel (NAP). The nurse is responsible for assessing the patient's level of comfort and for any hazards of immobility and assessing circulation.

Answer to Question 2

ANS: D
Goal achievement for passive ROM is prevention of joint contractures. Contractures develop in joints not moved periodically through their full ROM. ROM exercises reduce the risk of contractures. Researchers noted that prompt use of splinting with prescribed ROM exercises reduced contractures and improved active range of joint motion in affected lower extremities. Deep breathing and coughing and using an incentive spirometer will help prevent atelectasis. Adequate hydration helps prevent renal calculi and urinary tract infections. Interventions aimed at prevention of pressure ulcers include positioning, skin care, and the use of therapeutic devices to relieve pressure.

[jlmhmf]

Thanks

[millet]

Welcome