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) Changing the client's bed linens each day:
While changing bed linens regularly is important for maintaining cleanliness and preventing the spread of infection, it alone is not the most effective strategy to prevent transmission of infection. Hand hygiene before, during, and after contact with the client is a more crucial step to break the chain of infection and prevent transmission.

B) Performing hand hygiene before, during, and after direct contact with the client:
Hand hygiene is the most effective and critical strategy for preventing the transmission of infections. By performing proper hand hygiene at appropriate times, the nurse reduces the risk of spreading pathogens from the patient to themselves, other patients, and the environment. This is a key practice in infection control and is widely recognized as one of the best preventive measures.

C) Placing the client in a room with positive pressure airflow:
Positive pressure airflow is used for clients who have weakened immune systems (e.g., those with neutropenia) to protect them from infections. However, this is not the appropriate strategy for a client with an active infection, as it could potentially spread infectious agents in the environment. Infections typically require isolation with appropriate precautions like contact or droplet precautions rather than positive pressure airflow.

D) Encouraging the client to consume a high-protein diet:
Encouraging a high-protein diet is important for supporting the client's immune function and overall recovery. However, it does not directly prevent the transmission of the infection. The priority in infection control is using strategies like hand hygiene and proper isolation procedures to prevent the spread of the infection.

A. "I will place an area rug at the entry of my bathroom. B. I will keep the fluorescent ceiling light on in my room at night." C. I will place a bath seat in my shower to use when I bathe. D. "I will keep my walker at the end of my bed.

Correct Answer is C

Explanation

A) "I will place an area rug at the entry of my bathroom": This statement indicates a misunderstanding of safety guidelines. Rugs, especially if they are not properly secured, can pose a tripping hazard. It is recommended to avoid area rugs in high-risk areas like the bathroom to prevent falls.

B) "I will keep the fluorescent ceiling light on in my room at night": While adequate lighting is essential for fall prevention, leaving a bright fluorescent light on can lead to glare and difficulty with vision at night, potentially increasing the risk of a fall. A nightlight or low-level lighting near the bed or bathroom would be more appropriate.

C) "I will place a bath seat in my shower to use when I bathe": This statement indicates that the client understands the need for safety measures to prevent falls. Using a bath seat in the shower allows the client to sit while bathing, reducing the risk of slipping or losing balance, particularly if they are at risk for falls or have difficulty standing for long periods.

D) "I will keep my walker at the end of my bed": This action could be unsafe because the client might need to walk a distance to retrieve the walker when getting out of bed, which increases the risk of a fall. The walker should be kept within easy reach, such as near the bedside, to ensure it is available immediately when the client needs to get up.

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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 caring for a client who has an infection. The nurse should use which of the following strategies to prevent the transmission of the client's Infection?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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