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Lesson 24
Step 10: Review Practice Exercise 24-2
Step 10: Review Practice Exercise 24-2
Review the answers to the Practice Exercise and use this as a study tool when preparing for your quiz.
1. Patient is lying on her back c. Supine position
2. A variation of the supine position a. Fowler’s position
3. Patient rests on one side of her body b. Lateral position
4. Patient is sitting b. Sitting position
5. An exaggerated lateral position c. Sims’ position
6. Patient is lying on her abdomen with head to the side a. Prone position
7. When you transfer a patient from her bed to a wheelchair, transfer the patient on her d. stronger side.
8. When you transport a patient in a wheelchair, a. back into and out of elevators.
9. Howard is mobile, but he is a little shaky on his feet since his last stroke. His physical therapist will probably recommend that Howard use a d. cane.
10. Jennifer transfers James from his bed to his wheelchair, and the chair begins to move. Jennifer failed to observe which safety precaution? c. Lock the brakes on the wheelchair
11. Canes, crutches, walkers and wheelchairs are all a. mobility devices.
12. A patient will hold her cane on the a. stronger side of her body.
13. David broke his leg in a skiing accident. He still has balance and can bear some weight on his broken leg. His physical therapist will probably recommend that he use d. axillary crutches.
14. Ida is able to bear some weight on her legs, but she has weak arms. Which will provide her with more support than axillary crutches? c. Platform crutches
15. Explain the difference between Fowler’s position, semi-Fowler’s position and high Fowler’s position. In the Fowler’s position, the person lies on her back with the head of the bed elevated to between 45 and 60 degrees. The semi-Fowler’s position (or low Fowler’s position) entails raising the head of the bed 30 to 45 degrees. The high Fowler’s position, occurs when the head of the bed is elevated 60 to 90 degrees.
16. Describe the steps Jerry’s caretaker will follow to place Jerry into a Sims’ position. 1. Wash hands. 2. Stand on the patient’s left side and ask the patient to turn toward you. Have the patient place his left arm behind his left hip and place his body weight on his chest. Make sure he stays in the center of the bed so he doesn’t fall. Assist as needed. 3. Help the patient flex his right knee at a 90-degree angle and keep the left leg straight. The left arm is behind the body with the palm up. The right arm is placed toward the head. 4. Place a pillow under the patient’s right knee and make sure the patient has a pillow under his head.
17. Describe proper body alignment. Correct body alignment occurs when the back is straight other than the natural curvature of the spine. The upper spine curves outward and the lower spine curves inward. The chest is high, the shoulders are straight and pulled back, and the chin is parallel to the floor. Check your client’s body alignment by imagining a straight line that links her nose, sternum and pubic bone, and then continues between her knees and ankles. This line should be straight regardless of whether the person is lying on her back, side or abdomen. When the patient is sitting, concentrate on the head and back position.
18. Compare and contrast swing-to gait and swing-through gait. In the swing-to gait, the patient moves both crutches at one time and then swings his legs forward to meet the crutches. In the swing-through gait, the patient moves both crutches forward and then swings both legs ahead of the crutches.
19. Describe the three most common types of crutches. Axillary crutches are shoulder-height, made of aluminum or wood and sit under the armpit, or axilla. The handgrips are located approximately one-third the length down the crutch from the axilla. Forearm crutches are made of aluminum, are held with the hands and have a metal cuff that fits around each forearm. Forearm crutches provide significantly more support than axillary crutches, so they are useful for people who can not balance themselves well. Platform crutches have handgrips, a shelf and straps that support the forearms, which means that they distribute weight more evenly than other types of crutches. They are useful for patients with weak arms.
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