The nurse is preparing to reposition the patient in bed. What is ...

[Davideckstein7]

The nurse is preparing to reposition the patient in bed. What is the first step in this process?
 
  a. Position the patient's arms across his/her chest.
  b. Lower the side rails.
  c. Grasp the draw sheet.
  d. Raise the bed to a working height.

Question 2

The nurse knows that manual lifting should only be done in the following situations:
 
  a. Patients who are less than 150 lb
  b. Life-threatening situations
  c. Postsurgical patients
  d. Patients who are less than 200 lb

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Answer to Question 1

ANS: D
Raising the bed to a working height is the first step before beginning the procedure. Proper positioning of equipment prevents provider discomfort and reduces the chance of possible injury. Then lower the side rails as appropriate and safe, and ensure that the bed wheels are locked. Then you can have the patient position his/her arms and/or grasp the draw sheet.

Answer to Question 2

ANS: B
The National Institute for Occupational Safety and Health (NIOSH) and the American Nurses Association (ANA) support the Safe Patient Handling and Movement Guidelines released in March 2010. Under these guidelines and position statements, manual lifting should be used in a few extreme situations instead of using mechanical lift devices, such as in life-threatening situations, for pediatric or small patients, or for patients who mostly are bearing their own weight. Postsurgical patients may not fit the criteria. Patients less than 150 or 200 lb may not fit the criteria.