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Transfers, Pre-Ambulation, and Respiratory Assessment: Questions and Answers

Transfers and Pre-Ambulation

Transfers and Pre-Ambulation 
1.Falls are a significant concern in health care. What risk factors (modifiable and non-modifiable) contribute to falls? What preventive measures can be implemented to reduce the risk? (Study Tip: Consider completing this question in a concept map or table to organize/visualize your learning) 


2.Prior to assisting a client to sit on the side of the bed, in what position should you place them?


3.What must always be done to stretchers and wheelchairs before transfers and when clients are unattended?


4.When transferring a patient to a wheelchair or chair where should the chair be placed? (draw a picture of this position)


5.How many health care workers are needed to transfer a patient from bed to stretcher? Draw a sketch of this procedure as though you are trying to explain it to colleagues.


6.Do you need to reposition a client sitting in a wheelchair? Explain.


7.What do nurses need to assess before transferring clients?  (*Study Tip: Consider developing an acronym or memory aid to remember this as a comprehensive assessment)


8.How many days of bed rest does it take for a person to feel weak and unsteady when getting out of bed?


9.What can you do to help you client get ready for ambulation?  (Hint: quadriceps sets (aka: quad-setting exercises)). Write out the instructions to prepare for ambulation as though you are teaching/providing information to a client.


10.What is a transfer/gait belt? When should it be used and not used?


11.How does ROM help for pre-ambulation?


12.What is orthostatic hypotension?


13.How can you help prevent orthostatic hypotension when ambulating a client?

Ambulatory Aids 
1.On which side does a person hold a cane when ambulating?


2.What is the difference between using a cane for maximum support and less support?


3.What is the difference between using a walker for maximum support and one sided (unilateral) weakness?


4.How do you measure for crutches?


5.List 2 things you should teach a client before using crutches to prevent injury?


6.Crutches have many different gait options, describe the following (you can draw diagrams if needed to visualize):







7.If a patient has weakness or is unsteady which gaits would you not choose?


8.How would you instruct a patient on using the stairs with crutches to ensure they are safe?

Respirations and Oxygen Saturation 

1.What are the two different types of breathing?
2.What is the difference between internal and external respirations?
3.Define the following:






4.Before assessing a client’s respiratory rate, what are some factors that a nurse should be aware?


5.What is a “normal” range of respiratory rate across the life span?


6.What factors affect respiration rate?


7.What happens to the chest and diaphragm when we inhale?


8.What do you assess when assessing respiratory rate?


9.How do you assess respiration rate?


10.How do you measure Oxygen Saturation, what equipment do you use?


11.What factors affect Oxygen Saturation?


12.Clinical Decision Making question: How would the nurse use the assessment findings related to pulse, respiration and oxygenation saturation to plan client care activities related to safe patient handling, mobility and transferring?

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