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CSCC Nurs 1871 Exam 2 Questions with Correct Answers| Latest Update

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CSCC Nurs 1871 Exam 2 Questions with Correct Answers| Latest Update

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CSCC Nurs 1871 Exam 2 Questions with Correct Answers| Latest Update Guaranteed Success

Which positioning aid increases cervical flexion? A thick pillow under a patient's head
increases cervical flexion, which is not desirable. Therefore, thin pillows should be placed under
the head. A thin pillow under bony prominences does not protect skin and tissue from damage
caused by pressure. Therefore, thick pillows should be placed under bony prominences. A
trapeze bar allows the patient to pull with the upper extremities to raise the trunk off the bed.
The trochanter roll prevents external rotation of the hips when a patient is in a supine position.


increased cervical flexion is observed when the patient is placed in which position?
Increased cervical flexion may occur if a patient is placed in the supported Fowler's position,
because the pillow at the head is too thick and the head thrusts forward. Patients positioned in
the Sims' position may experience lack of foot support. Patients positioned in the prone
position may suffer from neck hyperextension. Patients positioned in the side-lying position
may suffer from lateral flexion of the neck.


The nurse is positioning a postoperative patient to place the major portion of the body weight
on the hip and shoulder. In which position does the nurse place the patient? In a side-lying
position, most of the body's weight is dependent on the hip and shoulder. In the Sims' position,
the patient places the weight on the anterior ileum, humerus, and clavicle. In prone position,
the major portion of the body weight rests on the chest. In the supported Fowler's position, the
major weight of the body rests on the back.


While caring for a patient with immobility, the nurse positions the patient in the supported
supine position. The nurse places pillows under the pronated forearms keeping the upper arms
parallel to the patient's body. What is the reason for this nursing action? While positioning
the patient in the supported supine position, the nurse places pillows under the pronated
forearms, and keeps the upper arms parallel to the patient's body to reduce the internal
rotation of the shoulder and prevent extension of the elbows. Placing the hand rolls in the
patient's arms helps reduce the extension of the fingers and abduction of the thumb. Placing
pillows under the upper shoulders, neck, or head helps in maintaining the correct body
alignment and prevents flexion contractures of the cervical spine. Placing a small rolled towel
under the lumbar area of the back provides support to the lumbar spine.


Which trouble areas should be assessed for correction when the patient is placed in the
position depicted in the image? The image depicts the supported Fowler's position. The

,trouble areas in this position include the sacrum and heels. Unprotected pressure points at the
ears are the trouble areas in side-lying position. Unprotected pressure points at the knees and
humerus are the trouble points in Sims' position.


The nurse is caring for different patients. Which patient's condition may benefit from
logrolling? Patients with a spinal cord injury often need to keep the spinal column in straight
alignment to prevent further injury. Therefore, logrolling would be beneficial for this patient to
prevent further injury. A patient with head injury would benefit from the semi-Fowler's
position. A patient with a hand injury and a patient with an abdominal surgery are placed in the
supine position.


The nurse is caring for patients on a medical-surgical unit. The nurse plans the patients' care
and instructs the nursing assistant to assist in repositioning patients every 2 hours. Which
patients are at the greatest risk for complications if not repositioned properly? Select all that
apply. Patients who are at the greatest risk for complications if not properly repositioned
are those who are unconscious, frail, or paralyzed. The 20-year-old unconscious patient is at
risk for pulmonary and cardiac complications, and at risk for deteriorated skin condition. The
90-year-old frail patient would be unable to change position independently. The 40-year-old
paraplegia patient would be unable to move independently and is at risk of complications. The
65-year-old patient with visual impairment and the 30-year-old patient with cholecystitis can
move by themselves. These patients are not at risk for developing complications.


While helping a patient move up in bed, the nurse turns the patient from side to side to place
the drawsheet under the patient. What is the reason for this nursing action? While helping a
patient move up in bed, the nurse turns the patient from side to side to place the drawsheet
under the patient, extending from the shoulders to the thighs to support the patient's body
weight and to reduce the friction during movement. Returning the patient to the supine
position to achieve even distribution of the patient's weight makes lifting and positioning
easier. Removing the pillow from under the head and shoulders and placing it at the head of
the bed helps keep the patient from striking his/her head against the head of the bed. The
nurse should fanfold the drawsheet on both sides, with each nurse grasping firmly near the
patient to provide strong handles to grip the drawsheet without slipping.


Which nursing action prevents tension on the spinal column and adduction of the hips while
logrolling the patient? Placing small pillows between the patient's knees helps prevent
tension in the spinal column and adduction of the hips. Crossing the patient's arms across the

, chest prevents injury to the arms. Placing the patient in the supine position on the side of the
bed prepares the patient for turning onto the side. Fanfolding, or rolling the drawsheet
alongside the patient, provides strong handles to grip the drawsheet.


Which positioning of the patient by the nurse will help prevent flexion contracture of the
cervical vertebrae? The supported Fowler's position prevents the flexion contracture of the
cervical vertebrae. The prone position would be beneficial for patients with acute respiratory
distress. The 30-degree lateral position, or side-lying position, prevents pressure from bony
prominences on the back. The semi-prone position prevents foot drop.


The nurse has placed a patient in the Sims' position. Which areas would bear the maximum
weight of the body? In the Sims' position, the major portion of weight is placed on the
clavicle and humerus. Pressure points such as the elbows are unprotected in the supine
position. The knees are unprotected pressure points in the prone position. The ankles are
unprotected pressure points in the side-lying position.



Side-Lying Position In the side-lying (or lateral) position the patient rests on the side with the
major portion of body weight on the dependent hip and shoulder.



The following trouble points are common in the side-lying position: • Lateral flexion of the
neck
• Spinal curves out of normal alignment
• Shoulder and hip joints internally rotated, adducted, or unsupported
• Lack of foot support
• Lack of protection for pressure points at the ear, shoulder, anterior iliac spine, trochanter,
and ankles
• Excessive lateral flexion of the spine if the patient has large hips and a pillow is not placed
superior to the hips at the waist


Supported Fowler's Position.

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