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Difficulty: MediumErgonomics and Safe Use of Equipment

A practical nurse (PN) is organizing the care environment for a client who is recovering from a right tibial fracture and has a newly placed external fixator device. Which of the following actions demonstrate appropriate ergonomics, safe use of equipment, and adherence to the PN scope of practice? Select all that apply.

  1. Adjust the client's bed to the level of the nurse's waist before performing pin site care.Answer
  2. B
    Independently program the client's intravenous patient-controlled analgesia (PCA) pump to manage breakthrough pain.
  3. C
    Apply bilateral soft wrist restraints immediately if the client attempts to touch the external fixator.
  4. D
    Position a firm pillow directly underneath the client's right heel to support the weight of the leg.
  5. Maintain a wide base of support and keep the workload directly in front of the body when changing bed linens.Answer
  6. Verify that the bed wheels are locked and the bed is in the lowest position before leaving the room.Answer

Answer

The correct actions are adjusting the bed to waist level, maintaining a wide base of support, and ensuring the bed wheels are locked with the bed in the lowest position.
Applying principles of ergonomics, such as adjusting the bed to waist level and maintaining a wide base of support, prevents musculoskeletal injuries by keeping the center of gravity stable and reducing strain on the lower back. Ensuring the bed wheels are locked and the bed is in its lowest position is a critical equipment safety measure that prevents the bed from moving during transfers and minimizes injury risk if the client attempts to get out of bed.

Step-by-Step Solution

1
Evaluate each action for adherence to proper body mechanics to prevent nurse injury.
Adjusting bed height and using a wide base of support are identified as safe ergonomic practices.
These actions prevent lumbar strain and maintain a stable center of gravity during patient care activities.
2
Assess actions related to equipment safety and environmental hazards.
Locking the bed wheels and lowering the bed are identified as necessary interventions.
Standard equipment safety protocols require securing the bed before leaving a client unattended to prevent accidental falls or injuries.
3
Identify actions that violate clinical guidelines or the PN scope of practice.
Programming PCA pumps, improper heel positioning, and premature restraint use are incorrect.
These actions bypass step-wise safety protocols, risk direct patient injury, and exceed the legal scope of practice for a practical nurse.

Key Concept

Ergonomics and Safe Use of Equipment
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Topics

Ergonomics and Safe Use of Equipment

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