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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Checking for kinks in the drainage tubing might be a part of troubleshooting, but the observed clots and thick red fluid require immediate attention, so informing the charge nurse is the priority.
B. Delaying assessment for another hour could potentially exacerbate the issue if there's a problem with the irrigation or if the client's condition worsens.
C. Reporting the finding to the charge nurse is crucial as it indicates potential complications such as bleeding or clot formation that need immediate intervention.
D. Immediately stopping the irrigation solution without proper assessment and guidance could lead to complications and isn't the initial action warranted in this situation.
Correct Answer is B
Explanation
A. Tell the UAP to take the client back to his room. - This action might not address the problem and may disrupt the ongoing activity without rectifying the situation.
B. Instruct the UAP to walk on the client's affected side. - When assisting a client with rightsided weakness, the caregiver should support the affected side, providing assistance and stability.
Instructing the UAP to walk on the client's affected side is the appropriate action.
C. Take over the ambulation and counsel the UAP later. - This might disrupt the ongoing care and might not rectify the situation immediately. Addressing it promptly is crucial.
D. Provide the client an assistive device, such as a cane or walker. - While assistive devices can be beneficial, in this scenario, the immediate concern is correcting the UAP's positioning
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