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Zorluk: KolayErgonomics and Safe Use of Equipment

A practical nurse (PN) is assisting a client with right-sided weakness to ambulate in the hallway using a gait belt and a straight cane. The client has an unsteady gait. Which actions by the PN represent proper ergonomics and safe use of equipment? (Select all that apply.)

  1. Position oneself slightly behind and on the client's right side while walking.Cevap
  2. Ensure the gait belt is applied securely over the client's clothing at the waist.Cevap
  3. Instruct the client to hold the straight cane in their left hand.Cevap
  4. D
    Delegate the task of evaluating the client's readiness for a rolling walker to the unlicensed assistive personnel (UAP).
  5. E
    Apply a soft wrist restraint to the client's weak arm to prevent it from flailing during ambulation.
  6. F
    Continue the ambulation exercise to build endurance even if the client reports sudden, severe shortness of breath.

Cevap

The correct actions are to position oneself slightly behind and on the client's right (weak) side, ensure the gait belt is applied securely over the client's clothing, and instruct the client to hold the straight cane in their left (strong) hand.
Proper ergonomics and equipment safety during ambulation require the nurse to stand on the client's affected (right) side and slightly behind to quickly assist if they stumble. A gait belt should be applied securely over clothing to provide a safe grip for the nurse without causing skin trauma. Finally, a cane must always be held on the unaffected (left) side to appropriately distribute weight, mirror the natural swinging of the arms, and provide a stable base of support.

Adım Adım Çözüm

1
Determine the correct placement of the mobility aid.
The cane should be held on the strong side (left) to support the body's natural gait pattern and shift weight off the weak right leg.
Holding the cane on the strong side widens the base of support and maximizes balance.
2
Identify the proper positioning for the nurse assisting with ambulation.
The nurse must stand slightly behind and on the affected (right) side of the client.
If the client begins to fall, they will most likely fall toward their weak side. Being positioned there allows the nurse to safely guide them down or stabilize them.
3
Identify the correct usage of assistive safety equipment.
The gait belt should be placed securely around the waist, over the client's clothing.
This provides the nurse with a safe, ergonomic handle to maintain the client's center of gravity without pulling on their arms or risking skin injury.
4
Eliminate inappropriate or unsafe actions.
Reject options that involve delegating assessment, applying unnecessary physical restraints, or ignoring acute respiratory distress.
Safety requires adhering strictly to the PN scope of practice, utilizing least restrictive environments, and always prioritizing airway and breathing.

Anahtar Kavram

Safe Use of Mobility Aids and Body Mechanics
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Konular

Ergonomics and Safe Use of Equipment

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