Which client is appropriate for standby assist?
A. Non-weight bearing
B. Full weight bearing with mild weakness
C. Unconscious patient
D. Fracture with no mobility
β
Correct Answer: B
π‘ Standby assist is for clients who can ambulate independently with little difficulty.
Before ambulation, what is the MOST important assessment?
A. Skin color
B. Vital signs and pain level
C. Family presence
D. Meal intake
β Correct Answer: B
When should pain medication ideally be given before ambulation?
A. Immediately before
B. 5 minutes before
C. 30 minutes before
D. After ambulation
β Correct Answer: C
During a stand and pivot transfer, what should the nurse assess before moving the client?
A. Reflexes
B. Stability and orthostatic hypotension
C. Hearing ability
D. Pupils
β Correct Answer: B
In a stand and pivot transfer, the client should:
A. Pivot toward the chair
B. Jump into chair
C. Sit without support
D. Pull nurse forward
β Correct Answer: A
Which equipment is commonly used to prevent injury during transfers?
A. Stethoscope
B. Gait belt
C. Oxygen mask
D. IV pole
β Correct Answer: B
A client who can bear weight only briefly should use:
A. Standby assist
B. Full-body sling
C. Standing assist lift
D. No assistance
β Correct Answer: C
Which transfer method is used for a non-weight-bearing client?
A. Stand and pivot
B. Standby assist
C. Mechanical lift with full-body sling
D. Walking assist
β Correct Answer: C
When using a mechanical lift, the sling should be positioned:
A. Under shoulders only
B. Under hips only
C. Centered under spine with leg straps flat
D. Folded under client
β Correct Answer: C
When transferring with a mechanical lift, the nurse should:
A. Lift as high as possible
B. Lift only as high as needed
C. Move quickly
D. Skip checking clips
β Correct Answer: B
Which are required before any transfer?
A. Vital signs
B. Pain assessment
C. Appropriate footwear
D. Gait belt or equipment
β Correct Answers: A, B, C, D
During standby assist, the nurse should:
A. Walk ahead of client
B. Walk beside and slightly behind client
C. Pull client forward
D. Push from front
β Correct Answer: B
In stand and pivot, the client should:
A. Keep feet together
B. Grasp armrests before sitting
C. Sit without support
D. Cross legs
β Correct Answer: B