The nurse is observing two unlicensed assistive personnel (UAPs) ...

[Mr. Wonderful]

The nurse is observing two unlicensed assistive personnel (UAPs) moving a client with emphysema up in bed. Which action would indicate the need for further instruction on the procedure?
 
  1. One UAP adjusts the bed to a flat position.
  2. The wheels are locked and the bed is raised to waist level.
  3. All pillows are removed, with one placed against the head of the bed.
  4. One UAP stands on either side of the bed.

Question 2

The nurse is caring for a postoperative client, who is on strict bed rest, after having a rod placed for scoliosis. The client is currently supine.
 
  Which action by the nurse is necessary prior to logrolling this client?
  1. Moving the client closer to the side of the bed that the client will be turned toward
  2. Placing a pillow under the client's head
  3. Placing one or two pillows between the client's legs
  4. Having the client fold the arms on the chest

[nathang24]

Answer to Question 1

Correct Answer: 1

The client with emphysema might not tolerate lying flat in bed, and the nurse would need to instruct the UAPs on the importance of altering their technique based on the needs of the client. The remaining actions are correct procedure.

Answer to Question 2

Correct Answer: 4

Having the client fold the arms on the chest prevents injury to the client and makes logrolling the client smoother and easier for the nurse. The client is moved away from the side of the bed that the client will be turned toward, and pillows are not placed until after the client has been positioned.