A nurse is preparing to turn a client who is obese following a spinal fusion. The nurse should plan to use which of the following techniques to turn this client?
Draw sheet
Log roll
Sliding board
Hoyer lift
The Correct Answer is B
Choice A reason:
Draw sheet: A draw sheet can be used to assist in repositioning a patient, but it is not the most effective method for turning a client who has undergone spinal fusion. The primary concern is to maintain spinal alignment, which is best achieved through the log roll technique.
Choice B reason:
Log roll: The log roll technique is the preferred method for turning patients who have had spinal surgery. This technique involves moving the patient as a single unit, keeping the spine in alignment to prevent any twisting or bending that could disrupt the surgical site. It is especially important for obese patients to ensure that the spine remains stable during movement.
Choice C reason:
Sliding board: A sliding board is typically used to assist with transfers from one surface to another, such as from a bed to a wheelchair. It is not suitable for turning a patient in bed, particularly one who has had spinal surgery.
Choice D reason:
Hoyer lift: A Hoyer lift is a mechanical device used to lift and transfer patients who are unable to move themselves. While it can be useful for transferring patients, it is not designed for turning patients in bed and does not provide the necessary support to maintain spinal alignment during a turn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.2"]
Explanation
Step 1: Determine the concentration of morphine sulfate available. = 10 mg/mL
Step 2: Determine the dose of morphine sulfate to be administered. = 2 mg
Step 3: Calculate the volume to be administered using the formula: Volume to be administered = Dose ÷ Concentration
Step 4: Perform the division. Calculation: 2 mg ÷ 10 mg/mL = 0.2 mL
Step 5: Round the answer to the nearest tenth if necessary. = 0.2 mL (no rounding needed)
The nurse should administer 0.2 mL per dose.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A reason:
Clean clothing is necessary for maintaining hygiene and comfort in disaster situations. Limited access to laundry facilities makes having extra clothing essential for preventing infections and staying dry in extreme weather.
Choice B reason:
Personal identification is crucial during emergencies to access aid, medical services, and shelters. Important documents such as passports or insurance cards help verify identity and facilitate assistance.
Choice C reason:
Three quarts of water per person is not the recommended amount. The standard guideline advises one gallon of water per person per day to meet hydration and sanitation needs, ensuring sufficient supply in prolonged emergencies.
Choice D reason:
Matches are useful for starting fires needed for cooking, warmth, and signaling for help. Waterproof matches or lighters should be included to ensure functionality in wet conditions.
Choice E reason:
Prescription medications are vital for those with chronic health conditions. Having a sufficient supply ensures continuity of treatment, especially when pharmacies may be inaccessible during disasters.
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