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

A patient with a stage IV pressure ulcer

A patient with neck surgery

A patient with hypostatic pneumonia

A patient with a total knee replacement

Answer and Explanation

The Correct Answer is B

A) A patient with a stage IV pressure ulcer: While logrolling is important for patients with pressure ulcers to prevent further skin damage and to ensure proper positioning, it is not the most common intervention for a patient with a stage IV pressure ulcer. For such patients, the primary focus is on wound care, pain management, and preventing further pressure on the affected area, rather than using logrolling as a primary method of movement.

B) A patient with neck surgery: Logrolling is most commonly used for patients with spinal injuries or those who have had neck surgery. The goal is to maintain the alignment of the spine during movement to avoid causing further injury or strain. This technique helps prevent flexion or twisting of the neck and spine, which is critical for the safety of patients recovering from neck surgery.

C) A patient with hypostatic pneumonia: Hypostatic pneumonia, a type of lung infection due to immobility, is more commonly managed through respiratory interventions like deep breathing exercises, chest physiotherapy, and turning the patient to prevent secretion buildup in the lungs. While positioning is important, logrolling is not specifically indicated for this condition unless there is a concurrent spinal injury or surgery.

D) A patient with a total knee replacement: Logrolling is not typically required for patients with total knee replacements. The patient may need to be positioned carefully to protect the knee joint, but the primary focus in their care is on joint mobility, pain management, and preventing complications related to immobility, rather than performing logrolling to protect the spine or neck.

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Correct Answer is B

Explanation

A) Four wheel walker: While a four-wheel walker provides excellent support and stability for clients with significant mobility limitations, it is not always the best choice for someone who occasionally loses balance. It can be bulky and difficult to maneuver in tight spaces, and it may not provide as much support for clients who need only occasional assistance with balance. A gait belt allows for more hands-on assistance when needed.

B) Gait belt: A gait belt is the most appropriate device to use when assisting a client who occasionally loses balance. It allows the nurse to provide hands-on support and maintain the client’s safety during ambulation. The gait belt provides a secure hold, enabling the nurse to assist the client in regaining balance quickly, preventing falls if the client starts to lose their stability.

C) Jacket harness: A jacket harness is typically used in more severe cases of balance loss or in situations where the client has significant mobility impairments. While it provides more overall support, it may not be necessary for a client who only occasionally loses balance. It can also be more cumbersome than a gait belt for helping with short, occasional ambulation.

D) Cane: A cane is helpful for clients who need mild to moderate support while walking, but it might not offer enough stability for a client who occasionally loses balance. A cane may provide support in some cases, but using a gait belt would be more effective for safely supporting and guiding the client during ambulation.

A. Have the client wear a mask. B. Notify the x-ray department that the client requires airborne precautions. C. Wear a filtration mask and gloves during transport. D. the client's room to obtain a portable x-ray.

Correct Answer is A

Explanation

A) Have the client wear a mask: This is the appropriate action to take. When transporting a client with active pulmonary tuberculosis, the client should wear a mask to help prevent the spread of airborne pathogens. This is especially important when leaving the isolation room, as it minimizes the risk of contaminating the environment and others in public areas like hallways or the radiology department.

B) Notify the x-ray department that the client requires airborne precautions: While it is important to notify the x-ray department about the patient's airborne precautions, this alone is not sufficient for ensuring safe transport. Airborne precautions require the client to wear a mask, and the nurse should take additional precautions as well.

C) Wear a filtration mask and gloves during transport: While the nurse should wear appropriate personal protective equipment (PPE), including an N95 respirator (filtration mask) when in close contact with the client, the focus of the question is on ensuring the client’s safety during transport. The primary precaution for the client to take is wearing a mask.

D) The client's room to obtain a portable x-ray: This would be a safe alternative to transporting the client if a portable x-ray machine is available. However, in the case that transport to the radiology department is necessary, wearing a mask is the key precaution to prevent the spread of TB. The question specifically asks about the transport process, not about the use of portable x-ray equipment.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting an older adult client who sometimes loses her balance while walking. Which of the following devices should when helping the client ambulate?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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