VERIFIED QUESTIONS AND ANSWERS PASS
GUIDE
◉ Ambulating with gait belt with one nurse
Answer: - assess pt to make sure not fatigued
- dangle pt legs off side of bed before ambulating
- lower bed as much as possible
- stand on pt strong side unless pt is using assistive device or
handrail
- assess for dizziness
- apply gait belt
- stand and grasp gait belt in middle of pt back
- help pt stand and reconfirm pt does not feel lightheaded
- have pt take a few steps while standing on pt stronger side (unless
pt has assistive device
- take a few steps forward with pt assess pt for strength and balance
- if pt becomes weak or dizzy return to bed or chair closest
- if pt begins to fall gently ease them onto floor by holding firmly
onto gait belt
◉ Ambulating with gait belt + 2 nurses
, Answer: - reconfirm pt does not feel lightheaded
- help pt to standing position observe pt balance
- nurse stand on each side of pt
- both nurses grasp belt in middle of pt back
- step forward in unison with pt
- gradually increase distance walked
- if pt becomes weak or dizzy return to bed or chair
- if pt begins to fall gently ease them onto floor by holding firmly to
belt, feet apart and extend leg letting pt gently slide onto floor
◉ How to use antiseptic hand rub
Answer: Rub hands together until alcohol is dry
◉ When using soap and water
Answer: Use plenty of friction for at least 20 seconds. Clean
underneath finger nails using additional soap and other hand finger
nails or disposable nail cleaner
◉ Coumadin is also known as
Answer: Warfarin
◉ Warfarin functional class