A patient with an unstable thoracic spinal injury must be turned for skin care. Which technique should the nurses use?
Correct answer: A. Logroll the patient while maintaining spinal alignment
- A. Logroll the patient while maintaining spinal alignment
- B. Pull the patient by the arms while keeping the legs straight
- C. Ask the patient to twist the trunk during the turn
- D. Raise the head of the bed and allow the patient to turn alone
Explanation
Logrolling keeps the head, neck and trunk aligned and reduces twisting of the injured spine. Pulling by the arms or allowing the patient to twist can worsen spinal cord or vertebral injury.
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Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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