The patient is unable to move self and needs to be pulled up in bed. What will the nurse do to make this procedure safe?
a. Place the pillow under the patient's head and shoulders.
b. Do by self if the bed is in the flat position.
c. Place the side rails in the up position.
d. Use a friction-reducing device.
ANS: D
This is not a one-person task. Helping a patient move up in bed without help from other co-workers or without the aid of an assistive device (e.g., friction-reducing pad) is not recommended and is not considered safe for the patient or the nurse. Remove the pillow from under head and shoulders and place it at the head of the bed to prevent striking the patient's head against the head of the bed. When pulling a patient up in bed, the bed should be flat to gain gravity assistance, and the side rails should be down.
You might also like to view...
A priority nursing intervention for a client with bipolar mania who has difficulty sleeping is to:
1. Have the night nurse talk with the client. 2. Encourage long naps during the day. 3. Administer PRN zolpidem tartrate (Ambien). 4. Provide strenuous exercise prior to bedtime.
A woman with polyhydramnios was admitted to a labor-delivery-recovery-postpartum (LDRP) suite. Her membranes rupture, the fluid is clear and odorless, but the fetal heart monitor indicates bradycardia and variable decelerations
What action should be taken next? a. Perform a vaginal examination. b. Perform Leopold's maneuvers. c. Apply warm saline soaks to the vagina. d. Place the woman in high-Fowler's position.
The nurse is preparing teaching materials for the parents of a child with encopresis. What information should the nurse emphasize during this teaching?
A) Not punishing the child for the condition B) Necessity for giving 4 to 6 tablespoons of Kaopectate per day C) Need for keeping the child close to bathroom facilities at all times D) Importance of cleaning the child immediately after an accident occurs
A patient asks the nurse why he felt pain prior to a myocardial infarction primarily in his left arm. How should the nurse respond?
1. "Pain in the arm related to cardiac tissue damage is a type of referred pain." 2. "Cardiac pain is generally unexplainable." 3. "Were you doing some physical activity with your arm just prior to the event?" 4. "What you are describing relates to psychogenic pain."