Positioning
How can you tell if a patient is uncomfortable or unsafe in their positioning?
A. Leaning or sliding to one side
B. Scooching themselves in their seat forward or side to side
C. attempting to reposition themselves.
D. all of the above.
What angle should patients' chairs be positioned for a stand pivot transfer?
A. 180 degree angle
B. 25 degree angle
C. 45 degree angle
D. 90 degree angle
How often should toileting be offered to residents? or should incontinent residents be toileted or changed?
A. 2-4 hours
B-5-6 hours
C. 6-7hours
D. 8-10
You notice a patient is sliding/scooting forward out of her Broda or high back chair. What should you do?
A. Place something in front of patient to block them from sliding out
B. Leave them alone; they are more comfortable like that.
C. Reposition centered and upright and recline or adjust angle on chair for pressure relief. Repeat every 2 hours.
D. Elevate leg rests.
When transferring a patient with a rolling walker what should your first instruction be regarding their hands?
A. "Push from armrests/ bed"
B. "Put your hands on the walker"
C. "Pull the walker"
D. "Put your hands on your knees"
Before leaving a patient on the toilet by themselves you should first...
A. Show them where the call bell is
B. ask the patient if they can be left alone.
C. Check their care plan
D. Tell them you will be back soon.
How often should residents be repositioned to avoid wounds, falls?
A. 2-3 hours
B. 4-5 hours
C. 10-12 hours
D. 6-7 hours
Which armrest should you instruct patients to reach for in a stand pivot transfer?
A. Grab both armrests turning your chest towards the seat.
B. reach for a table or any surface close.
C. the further away armrest and with back to the chair.
Does it fall under a nurses job to toilet a resident who needs to go under a bathroom if a CNA is busy caring for another patient?
A. No they should tell the resident no/ or ring the call bell and wait until the CNA is available.
B. Tell the patient they should just go in the brief because no one is available to take them to the bathroom.
C. The nurse should take the resident asking to use the bathroom to the bathroom.
You set up a lunch tray for a patient in a high back wheelchair and angle their chair in an upright position. When you come to collect the tray from the patient what else should you do?
A. Leave them upright.
B. Don't check on them, they will ring their callbell when they need help
C. ensure patient is done eating, recline, reposition the chair for pressure relief and comfort.
you are working with a patient for the first time by yourself and are unsure of how they transfer. what should you do first?
A. Check the care plan
B. leave them in bed for the day.
C. assume they are a hoyer or mechanical lift.
D. attempt to transfer them yourself
DAILY DOUBLE
A patient who is a frequent faller was found on the floor in the bathroom after lunch. How could this have been prevented?
Put patient on a regular toileting schedule after lunch, remain in bathroom with them during toileting session.
What is the reason someone would be in a Broda chair/ tilt in space chair/ high back wheelchair?
A. provide pressure relief, posture control, support with positioning.
C. patient is to tall for a standard wheelchair,
D. Patient prefers to lay down.
What are symptoms of a UTI you should always report to nursing to reduce risk of falls?
A. Unsteadiness on feet, decrease in transfer status.
B. Confusion
C. Strong smelling urine and frequent urination
D. All of the above.
Before transferring a patient to the toilet you should first...
A. Make sure the wheelchair is locked.
B. Make sure patent is positioned facing Grabar.
C. Make sure nothing is on the floor in the bathroom.
D. all of the above.