Exam Questions with 100% Correct
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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.
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3
, 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.