The practical nurse (PN) assists a client to a supine position. What should the PN use to prevent external rotation of the client's hips?

Foam mattress pad.

Trapeze bar.

Trochanter rolls.

Draw sheet.

Answer and Explanation

The Correct Answer is C

A.   Foam mattress pad - Foam mattress pads primarily provide cushioning and pressure relief, not specifically designed to prevent hip rotation.
B.   Trapeze bar - Trapeze bars assist with mobility but do not directly prevent hip rotation.
C.   Trochanter rolls - These are specifically designed to prevent external rotation of the hips by supporting the thighs, aiding in maintaining proper hip alignment.
D.   Draw sheet - While useful for repositioning and transferring patients, a draw sheet doesn't prevent hip rotation when the patient is in a supine position

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Correct Answer is B

Explanation

A. Asking about the bowel sterilization prescription doesn't address the client's concern regarding the visibility of the surgical opening.
B. Reviewing the client's expectations after surgery could address the client's query about the visibility of the surgical opening and offer information regarding elimination.
C. Verifying the NPO status is important for surgery preparation but doesn’t directly address the client's specific concern.
D. Determining if this is the first indwelling catheter doesn’t directly address the client's immediate concern regarding the surgical opening.

A. Provide a stool softener for constipation. B. Assess the bladder for distension. C. Check the hemoglobin to determine uterine hemorrhage. D. Massage the uterus to decrease atony.

Correct Answer is B

Explanation

Correct Answer: B.
A. Providing a stool softener for constipation might be necessary postpartum but isn't the initial action indicated by the client's current status.
B. Assessing the bladder for distension is crucial because a distended bladder can displace the uterus and impede its ability to contract properly, leading to uterine atony and increased bleeding.
C. Checking the hemoglobin to determine uterine hemorrhage is important but might not be the initial step needed based on the client's condition.
D. Massaging the uterus to decrease atony is a potential intervention, but assessing for bladder distension takes priority in this scenario to prevent uterine displacement.

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The practical nurse (PN) assists a client to a supine position. What should the PN use to prevent external rotation of the client's hips?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

Correct Answer is B

Explanation

The practical nurse (PN) determines that a client who is one day postpartum has a moderate amount of lochia rubra and the uterus is firm, dextroverted, and three fingerbreadths above the umbilicus. Which should be the PN's initial action?

Correct Answer is B

Explanation

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The practical nurse (PN) assists a client to a supine position. What should the PN use to prevent external rotation of the client's hips?