The practical nurse (PN) assists a client to a supine position. What should the PN use to prevent external rotation of the client's hips?
Foam mattress pad.
Trapeze bar.
Trochanter rolls.
Draw sheet.
The Correct Answer is C
A. Foam mattress pad - Foam mattress pads primarily provide cushioning and pressure relief, not specifically designed to prevent hip rotation.
B. Trapeze bar - Trapeze bars assist with mobility but do not directly prevent hip rotation.
C. Trochanter rolls - These are specifically designed to prevent external rotation of the hips by supporting the thighs, aiding in maintaining proper hip alignment.
D. Draw sheet - While useful for repositioning and transferring patients, a draw sheet doesn't prevent hip rotation when the patient is in a supine position
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Requesting that the man leave violates the patient's right to privacy and intimacy.
B. In this situation, the practical nurse (PN) shouldexit the room and quietly close the door. This approach respects the privacy and dignity of the older female client and her male friend while maintaining professionalism and discretion. It avoids embarrassing or shaming the couple and allows them their personal space.
C. Asking when the nurse should return doesn't handle the immediate situation effectively.
D. Reporting the incident to the family might be an option, but the immediate action is to maintain appropriate boundaries by asking the man to leave.
Correct Answer is C
Explanation
A. Write an incident report about the bruises on the infant. - These areas might not be bruises; hence, writing an incident report without accurate information could be premature.
B. Review the labor and delivery record for birth trauma. - While important, it might not directly relate to the observed bluish-black areas.
C. Record the size and location of the areas in the infant's chart. - Documenting the observations is essential for tracking changes and informing other healthcare providers.
D. Notify the pediatrician of a possible bleeding problem with the infant. - Without further assessment, assuming a bleeding problem might be premature and unnecessarily alarming.
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