chapter 10 review

List nine guidelines for using proper body mechanics.

1. check your base of support; have feet planted shoulder width apart

2. keep your back straight

3. beginning in a squatting position and lift with your legs; bend at hips and knees

4. tighten stomach muscles while beginning the lift

5. keep the object close to your body

6. push when possible instead of lifting

7. decide on a verbal cue

8. assess the load; acquire help if needed

9. face what you are lifting

what is positioning?

helping residents into positions that promote comfort and health

how often should bedbound residents be repositioned?

every two hours in a bed and every hour in a wheelchair

in which position is a resident lying on his side?

lateral

in which position is a resident lying on his stomach?

prone

in which position is a resident lying flat on his back?

supine

in which position is a resident lying on his left side with the lower arm behind the back and the upper knee flexed and raised toward the chest?

Sims'

in which position is a resident in a semi-sitting position (45 to 60 degrees) with the head and shoulders elevated?

Fowler's

what is a draw sheet?

An extra sheet placed on top of the bottom sheet when the bed is made; used for moving residents

what is shearing?

rubbing or friction that results from the skin moving one way and the bone underneath it remaining fixed or moving in the opposite direction

When is logrolling necessary?

When turning residents' that have neck or back problems, spinal cord injuries, or back or hip surgeries.

These residents' require that their spinal columns are kept in alignment.

How does dangling benefit a resident?

This helps resident regain balance before standing up and allows blood pressure to stabilize; especially useful for residents who are unable to walk

Describe how a transfer belt is applied.

1. The transfer belt is placed over the resident's clothing and around the waist.

2. The buckle is tightened until it is snug.

3. Then the buckle is positioned slightly off-center in the front or back for comfort.

Before helping a resident into or out of a wheelchair, what should a nursing assistant do?

lock the wheelchair before moving a resident into or out of the wheelchair

If a resident has a weaker side, which side moves first in a transfer- the weaker or stronger side?

When a resident has a weaker side, the stronger side should move first during a transfer. This allows the resident to utilize their stronger muscles for support and stability throughout the transfer process, minimizing the risk of falls or injury, according to some healthcare resources. 

When may stretchers be used for residents?

Stretchers may be used for serious injuries and illnesses and/or when a person cannot or should not walk but need to be transported somewhere

list five guidelines for using a mechanical lift

1. always have at least one other person with you

2. keep the chair close to the bed so that the resident is moved a short distance

3. check the valves before using the machine

4. open the legs to the widest position before using the lift

5. only raise the resident high enough to clear the bed\chair

what is one benefit of using the toilet rather than a bedpan or urinal?

the bladder empties more efficiently

define ambulation

walking

what is the purpose of canes?

canes help with balance

how many feet does a quad cane have?

4

which type of adaptive device for walking can be used when a resident can bear no weight on one leg; cane, walker, or crutches?

crutches

which side should a nursing assistant stand near when a resident is using adaptive equipment - the weaker or stronger side?

on the weaker side