What is the nursing priority when logrolling a patient?
Place pillows under the patient's hips and knees before turning.
Turn the patient only to the right side, never to the left.
Raise the head of the bed to at least 30 degrees before turning.
Keep the head, neck, back, hips, and legs in alignment with each other.
The Correct Answer is D
Choice A rationale:
Placing pillows under the patient's hips and knees before turning is a common practice to maintain proper body alignment during the logrolling procedure. However, it is not the priority step. Placing the pillows is a part of the procedure but does not address the primary concern.
Choice B rationale:
Turning the patient only to the right side and never to the left is incorrect. Patients should be turned gently and carefully to either side, depending on the situation and the patient's condition. Restricting the movement to only one side can cause discomfort and potential injury to the patient.
Choice C rationale:
Raising the head of the bed to at least 30 degrees before turning is a good practice to prevent aspiration and facilitate breathing. However, it is not the priority step when logrolling a patient. Proper body alignment is crucial to prevent musculoskeletal injuries to the patient and the healthcare provider.
Choice D rationale:
The correct answer. Keeping the head, neck, back, hips, and legs in alignment with each other is the nursing priority when logrolling a patient. This technique ensures that the patient's spine is supported and prevents twisting or bending, reducing the risk of injury. Proper body mechanics are essential for both the patient's safety and the healthcare provider's safety during the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Sharing a positive and educational experience, such as witnessing a lung transplant, demonstrates enthusiasm for the nursing profession and a willingness to learn. It also respects patient privacy as it doesn't disclose any patient's personal information. This kind of post reflects professionalism and genuine interest in the field.
Choice B rationale:
Posting about working with prisoners from the federal prison can be inappropriate and breach patient confidentiality. It is essential to respect patients' privacy and not disclose sensitive information on social media platforms. Sharing such information can lead to legal and ethical consequences.
Choice C rationale:
Posting about having a great day at clinical is a positive and general statement. However, it lacks specific details and does not contribute significantly to the professional image of the nursing student. While it is not necessarily inappropriate, sharing more educational and insightful experiences would be more beneficial.
Choice D rationale:
Posting negative comments about the food at XYZ Hospital is unprofessional and disrespectful. It reflects negatively on the hospital and could damage professional relationships. Additionally, it does not contribute to the nursing student's growth or demonstrate any meaningful engagement with the nursing profession.
Correct Answer is B
Explanation
Choice A rationale:
Placing the pulse oximeter probe on a finger with slow or delayed capillary refill can lead to inaccurate readings. Slow capillary refill indicates poor peripheral perfusion, which may affect the accuracy of pulse oximetry readings. The nurse should select a finger with normal capillary refill to obtain accurate readings.
Choice B rationale:
Documenting the pulse oximeter reading as a percent is the correct action. Pulse oximeter readings are expressed as percentages, representing the oxygen saturation level in the patient's blood. Normal oxygen saturation levels typically range from 95% to 100%. Documenting the reading in percent allows healthcare providers to monitor the patient's oxygenation status accurately.
Choice C rationale:
Assuring that the reading is taken in bright light, such as sunlight or fluorescent light, is incorrect. Bright light can interfere with the accuracy of pulse oximetry readings by causing the sensor to misinterpret external light as a pulsatile signal. To obtain accurate readings, the pulse oximeter should be used in a well-lit environment but away from direct bright light sources.
Choice D rationale:
Avoiding the removal of dark nail polish before obtaining the reading is incorrect. Dark nail polish can interfere with the pulse oximeter's ability to detect the pulsatile signal from the patient's finger, leading to inaccurate oxygen saturation readings. The nurse should advise the patient to remove dark nail polish or choose another finger without nail polish for the measurement.
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