What is the correct method for turning an adult patient who ...

[hbsimmons88]

What is the correct method for turning an adult patient who recently sustained a spinal cord injury?
 
  a. Ask the patient to assist with the turn by holding the siderails of the bed.
  b. Place a draw sheet under the patient to assist with turning.
  c. Request help from another nurse to perform the logrolling technique.
  d. Use a mechanical lift for safe turning and protecting the nurse's back.

Question 2

A nurse is assessing a healthy, older adult patient for an exercise program to be offered at the local hospital. During the evaluation, the nurse notes the following vital signs:
 
  P = 72, RR = 16, BP = 132/70 . After 3 minutes of moderate-intensity running on the treadmill, the patient becomes short of breath and states, I have to stop. I can't do this anymore. The nurse measures his vital signs again: P = 152, RR = 40, BP = 172/98 . She instructs him to rest. Vital signs return to baseline after 15 minutes. The nurse should recognize his symptoms as associated with which of the following?
  a. Anxiety
  b. Orthostatic hypotension
  c. Limited activity tolerance
  d. Respiratory distress

[CAPTAINAMERICA]

Answer to Question 1

C
The patient's spine should be maintained in straight alignment. Logrolling moves the patient's body as a unit and maintains the patient's spine in straight alignment. Holding on to the siderail or using a draw sheet or mechanical lift will not keep the spine in alignment.

Answer to Question 2

C
To assess for activity tolerance, assess and record vital signs before and after exercise. A rapid change from baseline vital signs or a slow return to baseline indicates limited activity tolerance. Anxiety might primarily be exhibited via signs of difficulty getting enough air, elevated heart rate, and systolic blood pressure. Vital signs would resolve when anxiety is reduced and not after exercise. Orthostatic hypotension is a temporary lowering of blood pressure when suddenly standing up. It is not a finding related to exercise.

[hbsimmons88]

Thank you!

[CAPTAINAMERICA]

Always glad to help...