Question 1
Type: MCMA
The nurse is assisting in logrolling a client recovering from
spinal surgery. Why should the nurse place a pillow
between the
... [Show More] clients legs when turning?
Standard Text: Select all that apply.
1. Stabilizes the spine
2. Prevents hip contractures
3. Supports the upper leg
4. Keeps the legs parallel and aligned
5. Prevents adduction of the upper leg
Correct Answer: 3, 4, 5
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Rationale 1: A pillow between the legs when logrolling
does not stabilize the spine.
Rationale 2: A pillow between the legs when logrolling
does not prevent hip contractures.
Rationale 3: A pillow between the clients legs when
logrolling supports the upper leg when the client is
turned.
Rationale 4: A pillow between the clients legs when
logrolling keeps the legs parallel and aligned.
Rationale 5: A pillow between the clients legs when
logrolling prevents adduction of the upper leg.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment
Client Need Sub: Safety and Infection Control
QSEN Competencies: I.A. 1. Integrate understanding of
multiple dimensions of patient centered care
AACN Essentials Competencies: IX. 8. Implement
evidence-based nursing interventions as appropriate for
managing the acute and chronic care of patients and
promoting health across the lifespan
NLN Competencies: Context and Environment; Practice;
conduct population-based transcultural health
assessments and interventions
Nursing/Integrated Concepts: Nursing Process:
Implementation
Learning Outcome: 10. Verbalize the steps used in: c.
Logrolling a client.
MNL Learning Outcome: 4.3.3. Implement the nursing
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process in the care of the client with diminished mobility.
Page Number: 1042
Question 2
Type: MCSA
During a prenatal visit, the nurse is instructing a newly
pregnant client in regard to exercise. What advice is best
for the nurse to give this client?
1. Pregnant clients can exercise if exercise was a part of
their life prior to pregnancy.
2. Due to the stress of a growing fetus, exercise should
be limited to no more than 10 minutes per day.
3. Healthy pregnant women should exercise at least 30
minutes on most if not all days.
4. The pregnant womans exercise should actually increase
above normal recommended levels to prevent water
weight gain.
Correct Answer: 3 [Show Less]