When planning care, the nurse should identify which client as ...

[fnuegbu]

When planning care, the nurse should identify which client as needing logrolling for position changes?
 
  1. A client with documented pneumonia
  2. The client who has had abdominal surgery
  3. The client who fell from a house, sustaining a fractured tibia
  4. A client who has a severe headache from hypertensive crisis

Question 2

The nurse is preparing to assist a client to a lateral position to position a bedpan. What action should the nurse take first?
 
  1. Perform hand hygiene.
  2. Move the client to the side of the bed.
  3. Place the client's arm over the chest.
  4. Raise the opposite side rail.

[kristenb95]

Answer to Question 1

Correct Answer: 3
Rationale 1: There is no physiological reason why a client with pneumonia would need to be logrolled.
Rationale 2: There is no physiological reason why a client recovering from abdominal surgery would need to be logrolled.
Rationale 3: The logrolling technique is used in moving any client who may have sustained a spinal injury. Of these clients, the most concern is for the client who fell from a house.
Rationale 4: There is no physiological reason why the client with a headache would need to be logrolled.

Answer to Question 2

Correct Answer: 1
Rationale 1: Even though the intervention being performed is placing the client on a bedpan, the nurse should first perform hand hygiene. This prevents cross-transmission of infection from one client to another. Performing this hygiene in front of the client also increases the client's perception of the quality of care being provided and the nurse's concern about infection control.
Rationale 2: This action is done later in the procedure.
Rationale 3: This action is done later in the procedure.
Rationale 4: This action is done later in the procedure.

[fnuegbu]

TY

[kristenb95]

You're welcome