EXAM QUESTIONS WITH SOLUTIONS | 100% RATED CORRECT |
100% VERFIED SOLTIONS | ALREADY GRADED A+
Which positioning aid increases cervical flexion? - (ANSWER)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?
- (ANSWER)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? - (ANSWER)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? - (ANSWER)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? - (ANSWER)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? - (ANSWER)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. - (ANSWER)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? - (ANSWER)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.