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Zorluk: KolayBasic Care and Comfort

A client on bed rest requires the use of a standard bedpan for elimination. The client is awake, alert, and able to assist by lifting their hips. In what order should the nurse perform the following actions to place the bedpan safely? Arrange the steps in the correct sequence.

  1. 1Perform hand hygiene and don clean gloves.
  2. 2Lower the head of the bed to a flat or low-Fowler's position.
  3. 3Instruct the client to bend their knees and press their feet into the mattress to lift their hips.
  4. 4Slide the bedpan under the client's buttocks.
  5. 5Elevate the head of the bed to a semi-Fowler's position.

Cevap

The correct sequence is: don gloves, lower the head of the bed, instruct the client to lift their hips, place the bedpan, and then elevate the head of the bed.
The correct sequence prioritizes infection control first, followed by ergonomic preparation (lowering the bed) to minimize strain. The client then assists by lifting their hips so the bedpan can be safely inserted without dragging it against the skin. Finally, the head of the bed is raised to facilitate a natural elimination posture.

Adım Adım Çözüm

1
Perform hand hygiene and don gloves.
Readiness to safely provide care.
Maintains infection control and standard precautions.
2
Lower the head of the bed.
Client is lying relatively flat.
Prevents the client from having to lift their body weight against gravity, reducing physical strain.
3
Instruct the client to flex their knees and lift their hips.
The client's hips are elevated off the mattress.
Creates the necessary space to safely insert the bedpan.
4
Place the bedpan under the buttocks.
The bedpan is in the correct functional position.
Allows for sanitary elimination while the client's hips are lifted to prevent skin damage.
5
Elevate the head of the bed.
The client is in a seated position.
Promotes a natural, gravity-assisted position for elimination and increases client comfort.

Anahtar Kavram

Basic Care and Comfort: Elimination Care Routines
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