The patient is unable to move self and needs to be pulled up in ...

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The patient is unable to move self and needs to be pulled up in bed. What will the nurse do to make this procedure safe?
 
  a. Place the pillow under the patient's head and shoulders.
  b. Do by self if the bed is in the flat position.
  c. Place the side rails in the up position.
  d. Use a friction-reducing device.

Question 2

The nurse is caring for a patient who needs to be placed in the prone position. Which action will the nurse take?
 
  a. Place pillow under the patient's abdomen after turning.
  b. Turn head toward one side with large, soft pillow.
  c. Position legs flat against bed.
  d. Raise head of bed to 45 degrees.

[6ana001]

Answer to Question 1

ANS: D
This is not a one-person task. Helping a patient move up in bed without help from other co-workers or without the aid of an assistive device (e.g., friction-reducing pad) is not recommended and is not considered safe for the patient or the nurse. Remove the pillow from under head and shoulders and place it at the head of the bed to prevent striking the patient's head against the head of the bed. When pulling a patient up in bed, the bed should be flat to gain gravity assistance, and the side rails should be down.

Answer to Question 2

ANS: A
Placing a pillow under the patient's abdomen after turning decreases hyperextension of lumbar vertebrae and strain on lower back; breathing may also be enhanced. Head is turned toward one side with a small pillow to reduce flexion or hyperextension of cervical vertebrae. Legs should be supported with pillows to elevate toes and prevent footdrop. Forty-five degrees is the position for Fowler's position; prone is on the stomach.