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","B","C","D"]
Explanation
Choice A rationale:
Electronic medical records being available even during a power outage is a significant advantage. This ensures healthcare providers can access critical patient information, which is essential for patient safety and continuity of care, especially during emergencies.
Choice B rationale:
Timely documentation is facilitated by electronic charting, as it eliminates the delays associated with manual paperwork. Healthcare providers can input data efficiently, reducing the risk of errors and ensuring that the patient's information is up-to-date.
Choice C rationale:
The patient's electronic medical record being available to all members of the healthcare team simultaneously promotes collaborative and coordinated care. This real-time access enables healthcare professionals to make informed decisions based on the most recent patient data, leading to improved patient outcomes.
Choice D rationale:
Continuous updates in the electronic medical record system enhance continuity of care. The ability to access the most recent information ensures that all healthcare providers are aware of the patient's current status, ongoing treatments, and any changes in their condition. This knowledge is vital for delivering safe and effective care.
Correct Answer is ["B","E"]
Explanation
Choice A rationale:
Using correction fluid to correct an erroneous written entry is not appropriate as it can obscure the information and raise questions about the accuracy of the documentation. It is better to strike through the error with a single line, write the correct information, and sign and date the correction.
Choice B rationale:
Documenting changes in the patient's status is crucial for ensuring continuity of care and keeping all healthcare providers informed about the patient's condition.
Choice C rationale:
Leaving a blank line for the charge nurse to add additional documentation is not recommended. Each entry should be complete and include all relevant information at the time of documentation.
Choice D rationale:
Planning to finish charting the procedure after returning from a break is not appropriate. Charting should be done in real-time to ensure accuracy and timeliness of the information.
Choice E rationale:
Charting using military (24-hour) time is appropriate as it reduces confusion and ensures a standardized way of documenting time across different healthcare settings.
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