From FUNDAMENTALS SUCCESS: A Course Review Applying Critical Thinking to Test Taking by Nugent and Vitale, pages 238-251
Faces the side of the bed while using the arms to move the patient
Keeps the body balanced over a wide base of support
Holds the breath and tenses pelvic muscles
Keeps the elbows and knees straight
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Encouraging the patient to deep breathe 10 times per hour
Placing a sheepskin pad under the patient's sacrum
Performing range-of motion exercises twice a day
Repositioning the patient every 2 hours
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External rotation
Circumduction
Lateral flexion
Pronation
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Exertional fatigue
Sedentary lifestyle
Limited Range of Motion
Increase Respiratory Rate
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Weakness
Flaccidity
Atrophy
Pain
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Spinal cord trauma
Abdominal surgery
A long leg cast applied
Cerebral vascular accident
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Supination
Adduction
Dorsal flexion
Plantar extension
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Applying pressure under the patient's axillae when standing up
Letting the patient help as much as possible when permitted
Keeping the patient's feet next to each other 1 foot apart
Lowering the bed to below the height of the wheel chair
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Advance up a step with the weak leg first followed by the strong leg and cane
Adjust the can height 12 inches lower than the waist
Hold the cane in the strong hand when walking
Look at the feet when walkng
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Moves the patient up against gravity
Uses the large muscles of the legs
Keeps the knees locked
Bends from the waist
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Ischial tuberosities
Bilateral scapulae
Trochanters
Malleoli
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Applying a vest restraint with the ties attached to the lower frame behind the seat
Supporting the body so that the hip and knees are at 90 degree angles.
Ensuring the patient is in functional body alignment
Placing the patient in the hall near the nurse's station
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Stage I
Stage II
Stage III
Stage IV
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Heat lamp treatment three times a day
Application of a topical antibiotic
Cleansing irrigations every shift
Debridement of the wound
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Flexion on the knees
Pressure on the heels
Pressure on the trochanters
Internal rotation of the hips
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Posture
Strength
Energy level
Respiratory Care
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Endurance
Strength
Support
Balance
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Hyperextension
Opposition
Abduction
Flexion
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Dorsiflexion contractures of the feet
Pressure on the ischial tuberosities
External rotation of the hips
Adduction of the legs
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Dehydration
Incontinence
Contractures
Hypertension
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Stage 0
Stage I
Stage II
Stage III
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Impaired skin integrity
Occurrence of panic attacks
Self-imposed social isolation
Decreased physical conditioning
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Facilitate respirations
Support hip extension
Prevent pressure ulcers
Promote urinary elimination
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Is tingling
Looks swollen
Has very dry skin
Feels cold when touched.
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Carrying a heavy object
Raising the side rails on a bed
Repositioning a trochanter roll
Transferring a patient from a bed to a chair
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Quadriplegia
Incontinence
Hemiparesis
Confusion
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Renal calculi
Thrombophlebitis
Muscle contractures
Pathological fracture
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Use the longer, rather than the shorter, muscles when moving patients
Place their feet close together when transferring patients
Pull rather than push when turning patients
Misalign their backs when moving patients
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Under the small of a back
Behind the knees when supine
Alongside the ilium to midthigh
In the palm of the hand with the fingers flexed
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Take the patient's blood pressure
Monitor the patient for bradycardia
Establish whether or not the patient feels dizzy
Allow the patient time to adjust to the change in position
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On a pillow
Behind the back
With the palm up
In internal rotation
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Greater trochanter
Ischial tuberosity
Occipital
Scapulae
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Flexion
Inversion
Abduction
Opposition
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Nonblanchable erythema
Circumoral cyanosis
Tissue necrosis
Skin abrasion
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Inversion
Adduction
Plantar Flexion
Internal Rotation
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Altered tissue perfusion
Perineal excoriation
Reduced sensation
Pressure ulcers
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Place an air mattress on the bed
Massage bony prominences every shift
Apply a moisture barrier to the sacral area
Raise the head of the bed to the low-Fowler's position
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Tuck in the top linens on just the sides of the bed
Place a toe pleat in the top linens over the feet
Let the top linens hang off the end of the bed
Use trochanter rolls to position the feet
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Understand range of motion exercises
Transfer independently to a chair
Be taught ROM exercises
Be kept clean and dry
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Option 1
Option 2
Option 3
Option 4
Ensure that the patient's popliteal areas are not touching the seat edge.
Attach the patient's transfer belt to clips on the wheelchair
Place a pillow behind a patient's back
Put the patient's feet flat on the floor.
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Flexing the knees and back before lifting something heavy
Placing a patient in body alignment before being turned in bed
Lowering the head of the bed before moving a patient up in bed
Raising the height of the bed to waist level before changing the linens.
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Put them on after the patient's legs have been dependent for several minutes
Monitor the heels for blanchable erythema every eight hours
Apply body lotion before putting them on
Remove and reapply them once a day
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Supporting above and below the joint being moved
Positioning the patient in the supine position in bed
Providing on-going encouragement and supervision
Moving the joint through its full range at least three times
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Hook the longer chains on the end of the sling closest to the patient's feet
Ensure that there is a physician's order to use a mechanical lift
Place a sheepskin inside the sling so that it is under the patient
Lead with the patient's feet when existing the bed
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Applying a warm soak
Turning a patient off an affected site
Using an effleurage massage technique
Pulling a patient up in bed without a pull sheet
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Lock the base lever in open position when moving the mechanical lift
Keep the wheels of the mechanical lift locked throughout the transfer
Ensure that the patient's feet are protected during the transfer
Raise the lift so that the patient is 6 inches off the mattress
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Hook the shorter chains on the sling closest to the patient's feet
Cross the patient's arms across the chest throughout the transfer
Center the sling under the patient from the shoulders to just above the knees
Release the hydraulic valve on the lift swiftly while lowering the patient on the chair.
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