When preparing to move a patient in bed with the help of an assistant, which posture will both caregivers use to ensure their own safety?

Stand with the knees locked.

Flex the hips and knees.

Shift the body weight from the front leg to the back leg.

Stand with the feet together.

Answer and Explanation

The Correct Answer is B

A. Stand with the knees locked: Locking the knees can lead to instability and increase the risk of injury to both caregivers. It is important to maintain flexibility in the knees to facilitate movement and maintain balance while performing transfers.

B. Flex the hips and knees: This posture helps both caregivers maintain a low center of gravity and utilize their leg muscles for lifting and moving, which is essential for preventing injury. By bending at the hips and knees, caregivers can exert more force while reducing the strain on their backs, ensuring a safer transfer for both the patient and themselves.

C. Shift the body weight from the front leg to the back leg: While shifting body weight is important during lifting, it is more effective when done in conjunction with bending at the hips and knees. This option does not provide the most optimal posture for lifting and moving the patient safely.

D. Stand with the feet together: Standing with feet together decreases stability and balance, which can increase the risk of falling or injury during a transfer. Caregivers should stand with their feet shoulder-width apart to enhance their base of support and provide better stability while moving a patient.

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Correct Answer is B

Explanation

A. Twist at the waist when she moves an object to one side: Twisting at the waist can place excessive strain on the lower back and increase the risk of injury. Instead, the client should pivot her whole body to move an object, which helps maintain spinal alignment and reduces strain.

B. Bend at the knees when picking up an object: This instruction is crucial for preventing back strain. Bending at the knees allows the client to use her legs' strength to lift the object rather than putting pressure on the back. This technique helps protect the spine and promotes safe lifting practices.

C. Hold an object away from her body as she lifts it: Holding an object away from the body increases leverage and strain on the back muscles. The client should keep the object close to her body while lifting to maintain better balance and reduce the risk of injury.

D. Relax her abdominal muscles when she lifts an object: Engaging the abdominal muscles provides support to the spine during lifting. Relaxing the abdominal muscles can lead to a lack of core stability, increasing the risk of back injury. The client should be encouraged to engage her core muscles while lifting.

A. Bathe a client who had an amputation 2 days ago. B. Review a low-sodium diet for a client who has hypertension. C. Feed a client who had a stroke 3 months ago. D. Explain oral hygiene to a client receiving chemotherapy. E. Assist a client to ambulate using a gait belt.

Correct Answer is ["A","C","E"]

Explanation

A. Bathe a client who had an amputation 2 days ago: This task can be delegated to assistive personnel (AP). APs are trained to assist with activities of daily living, including bathing, under the supervision of nursing staff. The nurse should ensure that the AP is aware of any special considerations related to the client's recent amputation.

B. Review a low-sodium diet for a client who has hypertension: This task should not be delegated to APs, as it requires nursing knowledge and understanding to educate the client effectively. Discussing dietary modifications involves assessing the client's understanding and providing education, which falls under the nursing scope of practice.

C. Feed a client who had a stroke 3 months ago: This task can be delegated to APs, provided that the client is stable and the AP has been trained to assist clients with feeding. However, the nurse should assess the client's swallowing ability and any specific precautions related to the stroke before delegating this task.

D. Explain oral hygiene to a client receiving chemotherapy: This task should not be delegated to APs because it involves providing specific education and instructions regarding oral care, which requires nursing judgment and knowledge about the implications of chemotherapy on oral health.

E. Assist a client to ambulate using a gait belt: This task can be delegated to APs. Assisting with ambulation is within the scope of practice for APs, especially when proper techniques and safety measures, such as using a gait belt, are followed. The nurse should ensure that the AP has received appropriate training to assist with ambulation safely.

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When preparing to move a patient in bed with the help of an assistant, which posture will both caregivers use to ensure their own safety?

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