Author Question: The nurse is educating a patient and the family about different types of stabilization devices. ... (Read 74 times)

chads108 · **on:** Jun 25, 2018

The nurse is educating a patient and the family about different types of stabilization devices. Which statement indicates that the patient understands the benefit of using a halo fixation device instead of Gardner-Wells tongs?

1. I will have less pain if I use the halo device.
2. The halo device will allow me to get out of bed.
3. I am less likely to get an infection with the halo device.
4. The halo device does not have to stay in place as long.

Question 2

The nurse is caring for a patient recovering from a laminectomy. Which action should the nurse take to prevent skin breakdown in this patient?

1. by providing the patient with an air mattress
2. by placing pillows under the patient to help the patient turn
3. by teaching the patient to grasp the side rail to turn
4. by using the log roll to turn the patient to the side

wuly · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2
Unlike Gardner-Wells tongs, the halo device does not require weights, allowing the patient greater mobility. The patient's pain level and the time required for stabilization are not dependent on the type of stabilization device used. Gardner-Wells tongs do not carry a great risk of infection; both devices require pins to be inserted into the skull.

Answer to Question 2

Correct Answer: 4
: A patient who has undergone a laminectomy needs to be turned by log rolling to prevent pressure on the area of surgery and ensure healing. An air mattress will help prevent skin breakdown, but the patient still needs to be turned frequently. Placing pillows under the patient can help take pressure off one side but the patient still needs to change positions often. Teaching the patient to grasp the side rail will cause the spine to twist, which should be avoided.