Author Question: The nurse is taking care of a 78-year-old comatose patient. The nurse has placed the patient in a ... (Read 89 times)

hubes95 · **on:** Jul 22, 2018

The nurse is taking care of a 78-year-old comatose patient. The nurse has placed the patient in a supine position. To prevent foot drop, the nurse applies which of the following?

a. Pillows to dorsiflex the foot
b. Trochanter rolls to the feet
c. Foot boots as ordered
d. Pillows to elevate the feet

Question 2

The nurse working on an orthopedic unit has to assist many of the patients because of limited mobility.

The nurse's goal is to maintain a position that most favors function, requires the least muscular work to maintain, and places the least strain on muscles, ligaments, and bones. What is the term that best describes this goal? a. Body alignment
b. Posture
c. Center of gravity
d. Balance

Jadwiga9 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Avoid pressure on the back of the legs and heelspillows elevating the feet or dorsiflexing the foot may cause increased pressure. Use a foot boot to prevent footdrop, maintain proper align-ment, and provide freedom of movement for the feet. When a patient is immobile, use pillows, trochanter rolls, and hand rolls or arm splints to increase comfort and reduce injury to the skin or musculoskeletal system.

Answer to Question 2

B
The term posture means maintaining optimal body position. It means a position that most favors function, requires the least muscular work to maintain, and places the least strain on muscles, ligaments, and bones. Center of gravity refers to the term that describes how body balance is achieved, over a wide stable base of support. Body alignment refers to the relationship of one body part to another body part along a horizontal or vertical line. Correct alignment reduces strain on musculoskeletal structures, maintains adequate muscle tone, and contributes to balance.