A licensed practical nurse is coordinating with assistive personnel to turn a client who is 1 day postoperative following a lumbar spinal fusion. In what chronological order should the nurse perform the following actions to safely logroll the client?
- 1Lower the head of the bed to ensure the mattress is completely flat.
- 2Cross the client's arms over their chest and place a pillow between their knees.
- 3Position two staff members on the side of the bed toward which the client will be turned.
- 4Reach across the client and firmly grasp the draw sheet on the opposite side.
- 5Roll the client smoothly as a single unit on a coordinated count of three.
Cevap
The correct sequence is to first flatten the bed, then position the client's limbs with a pillow between the knees, position the staff on the destination side, grasp the draw sheet on the far side, and finally roll the client as a single unit on a count of three.
Logrolling is a mobility technique used to turn a client whose spine must be kept in straight alignment, particularly after spinal fusion surgery. The procedure requires careful sequential preparation: flattening the bed to align the spine, positioning the limbs to prevent dragging and maintain hip alignment, organizing the staff around the bed, establishing a firm grip on the draw sheet, and executing a coordinated turn as a single unit to prevent spinal torque.
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Anahtar Kavram
Procedural sequencing for logrolling and postoperative spinal positioning