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Difficulty: MediumBasic Care and Comfort

A practical nurse is preparing to place a regular bedpan for a client who is on strict bed rest and unable to lift their hips. After donning gloves and ensuring privacy, in what order should the nurse perform the following actions? Arrange the steps from first to last.

  1. 1Raise the bed to a comfortable working height and lower the head of the bed flat.
  2. 2Assist the client to roll onto their side facing away from the nurse.
  3. 3Position the bedpan firmly against the client's buttocks.
  4. 4Roll the client back onto the bedpan while holding it in place.
  5. 5Elevate the head of the bed to a semi-Fowler's position.

Answer

The correct sequence is: raise the bed and lower the head, assist the client to roll onto their side, position the bedpan firmly against the buttocks, roll the client back onto the bedpan, and finally elevate the head of the bed.
When assisting a client who cannot lift their hips onto a bedpan, the nurse must first prioritize safety and ergonomics by flattening the bed and raising it to working height. The client is then rolled to the side so the bedpan can be pressed against the buttocks. The nurse holds the bedpan steady while rolling the client back onto it. Finally, raising the head of the bed restores a functional, gravity-assisted position for elimination.

Step-by-Step Solution

1
Raise the bed to a comfortable working height and lower the head of the bed flat.
The nurse's back is protected, and the client is in a safe, flat position for turning.
Maintaining proper ergonomics and reducing the physical effort required to turn the client.
2
Assist the client to roll onto their side facing away from the nurse.
The client's buttocks are exposed and accessible.
Since the client cannot lift their hips, the log-rolling or side-lying method must be used to place the device.
3
Position the bedpan firmly against the client's buttocks.
The bedpan is properly aligned with the client's anatomy.
Ensuring the bedpan is secure prevents spillage and skin shearing during the return roll.
4
Roll the client back onto the bedpan while holding it in place.
The client is now supine and centered over the bedpan.
Holding the device securely during the maneuver ensures it remains under the client's buttocks.
5
Elevate the head of the bed to a semi-Fowler's position.
The client is sitting in a somewhat upright position.
An upright position mimics the natural posture for defecation or urination, utilizing gravity and intra-abdominal pressure.

Key Concept

Procedural sequencing for basic elimination care
Estimated Time:1m 30s
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Topics

Basic Care and Comfort

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