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 D
Explanation
Choice A reason:
Family history of cardiac disease is a non-modifiable risk factor. This means it cannot be changed or controlled through lifestyle or behavioral modifications. A family history of heart disease increases an individual’s risk, but it is not something that can be altered.
Choice B reason:
Increasing age is another non-modifiable risk factor. As people age, their risk for cardiovascular disease naturally increases. This is due to the cumulative effects of aging on the cardiovascular system, which cannot be changed.
Choice C reason:
The diagnosis of diabetes mellitus is a complex risk factor. While the presence of diabetes itself is not modifiable, the management of diabetes through lifestyle changes, medication, and diet can significantly reduce cardiovascular risk. However, the condition itself remains a non-modifiable risk factor.
Choice D reason:
Cigarette smoking is a modifiable risk factor. This means that individuals can reduce their risk of cardiovascular disease by quitting smoking. Smoking cessation has been shown to significantly lower the risk of heart disease and improve overall cardiovascular health.
Correct Answer is ["2.0"]
Explanation
To calculate the dosage, follow these steps:
Step 1: Identify the prescribed dose.
The prescribed dose is 25 mg.
Result: 25 mg.
Step 2: Identify the concentration of the medication.
The concentration is 12.5 mg/mL.
Result: 12.5 mg/mL.
Step 3: Calculate the volume to administer.
Volume (mL) = (Prescribed dose in mg) ÷ (Concentration in mg/mL).
Volume (mL) = 25 mg ÷ 12.5 mg/mL.
Volume (mL) = 2 mL.
Result: 2 mL.
So, the nurse should administer 2.0 mL of diphenhydramine elixir per dose.
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