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ISB: Mobility
Nightingale BSN 205, ISB Week 4, Mobility
| Question | Answer |
|---|---|
| 1. An elderly patient was recently admitted to a medical unit with severe fluid and electrolyte imbalance. Family states that he has periods of confusion. What are some precautions the nurse can take to ensure safety w/out using restraints? (SELECT ALL) | Make staff assignments for patients in adjacent rooms. Activate the bed alarm when the patient is in bed. Perform nurse toilet and turn or comfort and safety rounds hourly. |
| A patient is admitted to a medical unit with pneumonia. She is able to ambulate on her own to the bathroom. What safety precautions should be taken for this patient? (Select all that apply.) | Explain he use of the call light. Keep the bed in the low, locked position. Ensure that the pathway to the bathroom is clear. Keep patient’s personal items on the over bed table. |
| Nurse walking down the corridor glances into patient’s room and sees the patient's feet/legs sticking out from the bathroom entrance. The nurse goes into the room and determines that the patient has fallen. What actions should be taken? (Select all.) | Call for assistance. Assess for injury. Notify health care provider. Assess the situation for precipitous factors. Fill out an agency occurrence or sentinel event report. |
| Which of the following are appropriate safety measures for the use of a wheelchair? (Select all that apply.) | Brakes on both wheels are locked when the patient is being transferred into the wheelchair. Back the wheelchair into and out of an elevator. Seat patient in wheelchair with buttocks against back of seat. |
| Which of the following patients is at greatest risk for experiencing a fall? | A confused patient with a history of a previous fall. |
| 3. A nursing instructor asks what may cause orthostatic hypotension. The nursing student correctly replies: (Select all that apply.) | Prolonged bed rest. Hypovolemia. Antihypertensives. |
| The nurse is getting a patient with right-sided weakness up in a chair. On what side of the bed should the nurse place the chair? | On the patient’s left side. |
| The nurse is planning tasks for the day. Which of the following patients would require repositioning at this time? (Select all that apply.) | A patient in correct body alignment who was turned 2 hours ago. A comfortable patient with the paraplegia who has been sitting in a chair for 30 minutes. |
| Which of the following patients should be allowed to lie back down? | A patient who complains of feeling dizzy and slightly nauseous when sitting on the bedside. |
Created by:
alishalynne93
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