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 C

Explanation

A) The client should first move the strong leg, then the weak one:
This instruction is not appropriate for cane use. When using a cane, the client should move the cane forward first, followed by the weak leg, and then the strong leg. This ensures proper support and balance while ambulating. Moving the strong leg first could cause instability and increase the risk of falls.

B) When the client moves, he should move the cane forward first:
This statement is partly correct, but it's only one part of the proper technique for cane use. The cane should be moved forward first, but then the weak leg should follow, and the strong leg should move last. This sequence helps the client maintain balance while using the cane.

C) The client should hold the cane on the weak side of his body:
This is the correct instruction. The cane should be held on the weak side (the side with the injury or decreased strength) to provide support and maintain balance while ambulating. Holding the cane on the weak side helps to transfer weight from the weak leg to the cane, improving stability and mobility.

D) The grip should be level with the client's wrist:
This statement is partially correct but lacks clarity. The cane's grip should be level with the client's wrist when standing upright, which ensures that the client can hold the cane with a slightly bent elbow, promoting better posture and more effective use of the device. However, it is essential to make sure the cane height is adjusted to the individual's specific needs, as the wrist level may not always be ideal for every client.

A. Anxiety B. Not seeing family members C. Not eating D. Mental Health

Correct Answer is C

Explanation

A) Anxiety: While anxiety is a significant concern, Maslow’s hierarchy of needs emphasizes addressing physiological needs first, as they form the foundation for higher-level needs. Anxiety can be a secondary concern, but it is often tied to unmet basic needs like hunger, so addressing the physiological need for nourishment should take priority.

B) Not seeing family members: Emotional support from family members is important for mental health and well-being, but according to Maslow's hierarchy, psychological needs like social connection come after physiological needs. The patient’s refusal to see family members may be influenced by underlying physiological issues such as hunger or anxiety, making it less urgent to address initially.

C) Not eating: According to Maslow’s hierarchy, the most immediate priority is addressing physiological needs such as food, water, and shelter. If a patient is not eating, it can lead to further health complications like malnutrition, weakness, and decreased energy. Ensuring the patient’s basic physiological needs are met, such as eating, should be the nurse's first priority to stabilize the patient before addressing other concerns.

D) Mental Health: Mental health concerns, like anxiety, are important but are considered a higher-level need in Maslow's hierarchy, following physiological needs. Addressing mental health issues such as anxiety may be necessary, but it is more effective once the basic physiological needs, such as eating and hydration, are met.

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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

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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