What is the nursing priority when logrolling a patient?

Place pillows under the patient's hips and knees before turning.

Turn the patient only to the right side, never to the left.

Raise the head of the bed to at least 30 degrees before turning.

Keep the head, neck, back, hips, and legs in alignment with each other.

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is A

Explanation

Choice A rationale:

The correct technique for using an incentive spirometer involves placing the mouthpiece in the mouth and inhaling slowly and deeply through the mouthpiece. This helps the client to take deep breaths, expand their lungs, and improve lung function. By inhaling through the mouthpiece, the client maximizes the benefits of the incentive spirometer, preventing complications such as atelectasis and pneumonia.

Choice B rationale:

Setting an alarm to ring every hour at night is not relevant to using the incentive spirometer. The frequency of using the incentive spirometer should be determined based on the healthcare provider's recommendation and the client's condition. Using it too frequently or infrequently can both have negative consequences.

Choice C rationale:

Using the incentive spirometer only when shortness of breath occurs is not the correct approach. Incentive spirometry is a preventive measure used to maintain lung function and prevent respiratory complications, especially after surgery. Waiting until shortness of breath occurs might be too late to prevent complications effectively.

Choice D rationale:

Inhaling normally and then coughing forcefully into the mouthpiece of the device is not the correct technique for using an incentive spirometer. Coughing into the device can damage it and render it ineffective. Inhaling deeply and slowly through the mouthpiece is the correct method to encourage optimal lung expansion and prevent respiratory complications.

A. An adult patient who has left arm weakness secondary to a childhood injury. B. An elderly patient who requires eye glasses for reading small print on labels and newspapers. C. A patient who is confused and experiencing nausea due to a head injury. D. A patient who uses the grab bars located in the hospital bathroom.

Correct Answer is C

Explanation

Choice A rationale:

While a patient with left arm weakness may have some mobility limitations, it does not necessarily put them at the highest risk for falling compared to the other options provided.

Choice B rationale:

Needing glasses for reading small print does not directly indicate a high risk of falling. The patient can still have good overall mobility and balance.

Choice C rationale:

A confused patient experiencing nausea due to a head injury is at the highest risk for falling. Confusion impairs judgment and decision-making abilities, increasing the likelihood of accidents. Nausea can further destabilize the patient, making them prone to falls.

Choice D rationale:

Using grab bars in the hospital bathroom indicates that the patient is aware of their limitations and is taking precautions to prevent falls. This does not suggest a higher risk compared to a confused and nauseous patient.

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What is the nursing priority when logrolling a patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching the client to use an incentive spirometer.What would the nurse include in the teaching plan?

Correct Answer is A

Explanation

The nurse is caring for several patients on a medical unit.Which patient does the nurse identify as being most at risk for falling?

Correct Answer is C

Explanation

The nursing staff are caring for a confused patient who is at risk for falling.What action by the nurse would be appropriate in order to avoid restraining the patient?

The director of nursing reprimands the nursing staff for which violations of HIPAA policy? Select all that apply.

The newly admitted patient has contractures of both lower extremities.What nursing intervention should be included in this patient's plan of care?

Which statement regarding the anatomy and physiology of the respiratory system is correct?

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