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 A

Explanation

A) Tertiary prevention: Tertiary prevention involves interventions aimed at reducing the long-term effects of a disease or injury, improving quality of life, and preventing further complications. In this case, the patient is receiving rehabilitation services (physical therapy and speech therapy) after a stroke to help restore function, improve mobility, and address communication issues caused by the stroke. This type of care focuses on managing and mitigating the effects of an existing health condition, which aligns with tertiary prevention.

B) Primary prevention: Primary prevention refers to actions taken to prevent the onset of a disease or condition before it occurs, such as immunizations, lifestyle modifications, or education about healthy behaviors. Since the patient has already experienced a stroke, primary prevention is not applicable in this situation.

C) Health promotion: Health promotion involves actions that improve overall health and well-being, such as encouraging healthy lifestyles, providing education, and promoting activities that prevent illness. While health promotion is important, it is not the primary focus in this scenario, as the patient is already dealing with the aftermath of a stroke and is receiving rehabilitation to address the effects of the condition.

D) Secondary prevention: Secondary prevention involves early detection and intervention to prevent the progression of a disease or condition. It typically includes screening and diagnostic procedures to identify diseases in their early stages. Since the patient has already experienced a stroke, secondary prevention is not the appropriate level of care here.

A. Water heater temperature 54.4°C (130" F) B. Bathtub with rails C. Raised toilet seats D. Electric cords behind the furniture E. Throw rugs

Correct Answer is ["A","D"]

Explanation

A) Water heater temperature 54.4°C (130°F):
A water heater temperature of 130°F is a safety risk for older adults. At this temperature, there is a higher risk of burns, especially for individuals who may have impaired sensitivity to heat. It is recommended to set the water heater temperature at 120°F to prevent accidental burns.

B) Bathtub with rails:
The presence of bathtub rails is a safety feature, not a risk. They help provide support and stability for older adults when entering or exiting the bathtub, reducing the risk of falls. This finding should not be considered a safety risk.

C) Raised toilet seats:
Raised toilet seats are beneficial for individuals with mobility limitations, as they provide extra height and make it easier for older adults to sit down and stand up. This modification can actually help prevent falls and should not be considered a safety risk.

D) Electric cords behind the furniture:
Electric cords placed behind furniture pose a tripping hazard, especially for older adults who may have impaired vision or mobility. These cords can be a safety risk as they increase the likelihood of falls. It is essential to ensure that cords are properly secured and not in pathways or areas where they can be tripped over.

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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 patient is admitted to a rehabilitation facility following stroke. The patient has right-sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. Which level of preventive care is the patient receiving?

Correct Answer is A

Explanation

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Correct Answer is ["A","D"]

Explanation

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