The nurse explains isometric exercises to the patient on the rehabilitation unit.
Which explanation provided by the nurse is accurate?

"Move your wrist in a circular motion 5 times every hour.”.

"Squeeze your gluteal muscles tightly 3 times every hour.”.

"Lift a 5-pound weight to increase your arm strength.”.

"Bend your knee up to your chest 4 times each day.”. .

Answer and Explanation

The Correct Answer is B

Choice B rationale:

Isometric exercises involve contracting muscles without changing the length of the muscle or joint angle. In this case, squeezing the gluteal muscles tightly constitutes an isometric exercise. Isometric exercises are often used in rehabilitation settings to strengthen specific muscle groups without putting too much strain on the joints.

Choice A rationale:

Option A describes a range of motion exercise involving the wrist, which is not an isometric exercise. Isometric exercises focus on static muscle contractions, not dynamic movements like circular motions.

Choice C rationale:

Lifting a 5-pound weight to increase arm strength involves isotonic exercise, not isometric exercise. Isotonic exercises involve muscle contractions with movement and changing muscle length, unlike isometric exercises, where muscle length remains constant.

Choice D rationale:

Bending the knee up to the chest is an example of a range of motion exercise and does not constitute an isometric exercise. Range of motion exercises involve moving joints through their full extent, but isometric exercises involve static muscle contractions without joint movement.

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Correct Answer is D

Explanation

Choice A rationale:

Placing pillows under the patient's hips and knees before turning is a common practice to maintain proper body alignment during the logrolling procedure. However, it is not the priority step. Placing the pillows is a part of the procedure but does not address the primary concern.

Choice B rationale:

Turning the patient only to the right side and never to the left is incorrect. Patients should be turned gently and carefully to either side, depending on the situation and the patient's condition. Restricting the movement to only one side can cause discomfort and potential injury to the patient.

Choice C rationale:

Raising the head of the bed to at least 30 degrees before turning is a good practice to prevent aspiration and facilitate breathing. However, it is not the priority step when logrolling a patient. Proper body alignment is crucial to prevent musculoskeletal injuries to the patient and the healthcare provider.

Choice D rationale:

The correct answer. Keeping the head, neck, back, hips, and legs in alignment with each other is the nursing priority when logrolling a patient. This technique ensures that the patient's spine is supported and prevents twisting or bending, reducing the risk of injury. Proper body mechanics are essential for both the patient's safety and the healthcare provider's safety during the procedure.

A. Move the patient to the side of the bed. B. Place the patient's arm over the chest. C. Raise the bed to a proper working height. D. Turn the patient using the draw sheet.

Correct Answer is A

Explanation

Choice A rationale:

Moving the patient to the side of the bed is the first nursing action that should be implemented when assisting the patient to a lateral position for placement of a bedpan. This step ensures proper body mechanics and patient safety during the transfer. The nurse should assist the patient to the edge of the bed, farthest from them, and then help the patient turn onto their side, facing away from the nurse. This position facilitates the placement of the bedpan and maintains the patient's dignity and comfort.

Choice B rationale:

Placing the patient's arm over the chest is a subsequent step after moving the patient to the side of the bed. After the patient is in the lateral position, the nurse should assist in placing the uppermost arm comfortably over the chest to maintain balance and stability during the bedpan placement.

Choice C rationale:

Raising the bed to a proper working height is essential for the nurse's ergonomic safety and comfort during the procedure. However, it is not the first step in assisting the patient to a lateral position. The bed should be at a height that allows the nurse to work comfortably without straining their back, but this step comes after the patient has been safely positioned on their side.

Choice D rationale:

Turning the patient using the draw sheet is another appropriate technique for repositioning patients, especially when they are unable to assist with the movement. However, in this scenario, the nurse needs to assist the patient to a lateral position for the bedpan placement, which involves different techniques. Using a draw sheet might be necessary in other situations, such as when turning a bedridden patient in bed, but it is not the first action for placing a bedpan.

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The nurse explains isometric exercises to the patient on the rehabilitation unit.Which explanation provided by the nurse is accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the nursing priority when logrolling a patient?

Correct Answer is D

Explanation

Which nursing action should be implemented first when assisting the patient to a lateral position for placement of a bedpan?

Correct Answer is A

Explanation

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The nurse explains isometric exercises to the patient on the rehabilitation unit.
Which explanation provided by the nurse is accurate?