Author Question: A nurse is supervising the logrolling of a patient. To which patient is the nurse most likely ... (Read 35 times)

jeatrice · **on:** Jul 22, 2018

A nurse is supervising the logrolling of a patient. To which patient is the nurse most likely providing care?

a. A patient with neck surgery
b. A patient with hypostatic pneumonia
c. A patient with a total knee replacement
d. A patient with a Stage IV pressure ulcer

Question 2

The nurse is caring for a patient with a spinal cord injury and notices that the patient's hips have a tendency to rotate externally when the patient is supine. Which device will the nurse use to help prevent injury secondary to this rotation?

a. Hand rolls
b. A trapeze bar
c. A trochanter roll
d. Hand-wrist splints

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

Answer to Question 1

ANS: A
A nurse supervises and aids personnel when there is a health care provider's order to logroll a patient. Patients who have suffered from spinal cord injury or are recovering from neck, back, or spinal surgery often need to keep the spinal column in straight alignment to prevent further injury. Hypostatic pneumonia, total knee replacement, and Stage IV ulcers do not have to be logrolled.

Answer to Question 2

ANS: C
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. Hand-wrist splints are individually molded for the patient to maintain proper alignment of the thumb and the wrist. The trapeze bar is a triangular device that hangs down from a securely fastened overhead bar that is attached to the bedframe. 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.