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

[09madisonrousseau09]

The patient is unable to move himself and needs to be pulled up in bed. For this repositioning to be done safely, the nurse must understand that
 
  a. The procedure can be done by one person if the bed is in the flat position.
  b. Side rails should be in the up position to prevent the patient from falling out.
  c. The pillow should be placed under the patient's head and shoulders.
  d. Assistive devices or additional nurses should be used.

Question 2

The nurse is caring for a patient who is immobile and needs to be turned every 2 hours. The patient has poor lower extremity circulation, and the nurse is concerned about irritation of the patient's toes. One strategy that the nurse could use is
 
  a. A foot cradle.
  b. A trochanter roll.
  c. The trapeze bar.
  d. Hand rolls.

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Answer to Question 1

ANS: D
This is not a one-person task. Helping a patient move up in bed without help from other coworkers 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. When pulling a patient up in bed, the bed should be flat or in a Trendelenburg position (when tolerated) to gain gravity assistance, and the side rails should be down. 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.

Answer to Question 2

ANS: A
A foot cradle may be used in patients with poor peripheral circulation as a means of reducing pressure on the tips of a patient's toes. A trochanter roll prevents external rotation of the hips when the patient is in a supine position. Hand rolls maintain the thumb in slight adduction and in opposition to the fingers. The trapeze bar is a triangular device that hangs down from a securely fastened overhead bar that is attached to the bed frame. It allows the patient to pull with the upper extremities to raise the trunk off the bed, to assist in transfer from bed to wheelchair, or to perform upper arm exercises.

[09madisonrousseau09]

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[komodo7]

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