Question

When using a mechanical lift to transfer a patient out of bed the nurse is aware of which of the following to ensure safety except?

	a.	The wheelchair brakes should be on before transferring the patient
	b.	Equipment should be checked before being used for a patient
	c.	The sling size should be fitted for the patient
	d.	Patients can be transferred by 1 person \ Miss. Peters is a student nurse working with a home care nurse. They visit an elderly client who has contractures. Miss. Peters asks the nurse, "What is the physiological reason for contractures?" Which of the following is the appropriate explanation? a. It is due to hyperextension of the joints of the arms and legs b. Repetitive flexor and ulnar adduction causes contractures c. Flexor muscles are stronger than extensor muscles d. Muscle mass loss affects only extensor muscles A patient with a fractured left femur is ambulating for the first time on crutches. He is unable to weight bear on 1 leg. Which of the following gaits should the client be taught to use? a. Three-point b. Swing-through c. Four-point d. Two-point The nurse obtains the following results after measuring a healthy male adult’s vital signs for the first time: Blood pressure, 180/100; pulse, 82; R, 16; and tympanic temp, 37.5°C.  What should the nurse do? a. Re-take the temperature b. Re-take the blood pressure c. Report all of the findings immediately d. Record the findings as within normal limits

Answer 1

1 The correct answer is Option D Patients can be transferred by 1 person

Because for lifting patients by mechanical lift needs minimum two staff members.

All the other optionsd are the necessary thing to do by the care giver before lifting the patient using the mechanical lift for the patient's safety.

2. The correct answer is option D The muscle mass loss affects only the extensor muscle.

Because when there is muscle mass loss of the extenser muscle this causes muscle atrophy and causes contracture.

3. The correct answer is option A Three - point gait.The three point gait is used for the patient who is unable to bare his weight in one leg.

Swing through is the wrong option as this method is used when the patient is unable to bare weight on both the legs.

Four point gait is the wrong option because this gait is used for the patient who has poor or weak coordination of the lower extrimity.(both the legs)

Two point gait is also the wrong option because this gait is used for patients who have poor coordination.This technique is faster than the four point gait.

4.The correct answer is re-take the blood pressure.Because the blood pressure which is at 180 / 100 is considered a hypertensive crisis.Since all other parameters are normal  re-take the blood pressure once again.

There is a chance to have increased blood pressure since the heart rate is 82,but it is better to recheck for the clarification.