Positions
What position is most appropriate for a client receiving a pelvic examination?
What is Lithotomy Position
Who is PROM or passive range of motion
A client has some redness noted to the sacrum area where the skin is intact and it does not blanch. What stage of pressure injury is this?
What is stage 1
When transferring a client from the bed to a wheelchair, the nurse should allow the client to do what before getting them out of the bed?
What is dangle
After changing the linens of an occupied bed, always make sure that the bed is in what condition prior to walking away or leaving the client's room?
What is bed in lowest position and side rails up x 2.
What position is the most appropriate for a client receiving and enema?
What is Sims Position
I am used to help prevent flexion contractures on the hand of a client with paralysis or weakness. Who am I?
Who is Hand Rolls
How often should a client's position be changed?
What is every 2 hours
When instructing a client to ambulate with a cane, the cane should be used on the?
What is unaffected side or strong side
If a client becomes dizzy and begins to fall while you are assisting with ambulation, what are the steps you should take?
What is step behind and pull the client towards you, slide the client down your upper leg, and lower them gently to the floor.
Which position angles the head of the bed 30-45 degrees?
What is Semi-Fowler's
I occur in the foot of a client who is immobile and in the supine position. They describe me as toes pointed downward. Who am I?
Who is Foot Drop
How often should restraint orders be renewed?
What is every 24 hours
When ambulating a client with a cane, the nurse should walk on what side of the client?
What is affect or weak side
When evacuating client's due to a fire in the building, which clients would be evacuated last?
Who is bedridden clients
What is the most appropriate position for a client who is having their indwelling catheter removed?
What is dorsal recumbent
I am used to help prevent external rotation of the hips and legs when a client is laying supine. Who am I?
Who is trochanter rolls
What type of client would need logrolling when moving them side to side?
Who is a client that has spinal surgery or injury
What is joints, muscles, tendons, and ligaments
When evacuating a floor due to a fire, which type of evacuation should the nurse start with?
What is horizontal evacuation.
How many degrees elevated should the head of the bed be when a client is placed in Fowler's position?
What is 45-60 degrees
I occur when there is moisture on the skin. They describe me as softening of tissue that increased the change of trauma or infection. Who am I?
Who is maceration
What risk level is a client who has a Braden score of 13?
What is moderate risk
What type of hazard does body fluids fall under?
What is biological
What all should be assessed when a client has restraints on their extremities?
What is warmth, color, and distal pulses