JHAN VEAVER LEE MARQUEZ BSN 1-A7 FUNDAMENTALS OF NURSING PRACTICE

SAS #5

1. ANSWER: C

RATIONALE: The patient is in the side-lying (or lateral) position, with the majority of his or her weight on
the dependent hip and shoulder. For patients at risk of pressure ulcers, a 30-degree lateral position is
advised.

2. ANSWER: B

RATIONALE: In the prone position, the patient lies face or chest down. The head is often turned to the
side; however, if a cushion is used under the head, it must be thin enough to avoid cervical flexion or
extension and preserve lumbar spine alignment. Placing a cushion under the lower leg allows for
dorsiflexion of the ankles and some knee flexion, all of which help to relax the muscles.

3. ANSWER: A

RATIONALE: In terms of weight distribution, Sims' position varies from the side-lying position. The
patient in Sims' role bears weight on the anterior ileum, humerus, and clavicle.

4. ANSWER: D

RATIONALE: When turning a patient with a spinal injury or healing from neck, back, or spinal surgery, it's
important to keep the patient's body in straight alignment. Logrolling a patient can be done comfortably
by two or three nurses. Do not attempt to logroll the patient without adequate assistance. Avoid
twisting the patient's head, back, elbows, knees, and ankles.

5. ANSWER: C

RATIONALE: The options a and b is a way to prevent the footdrop for a patient in a prone position.

6. ANSWER: D

RATIONALE: - Placing a patient’s arms flexed at shoulder level when in prone position this help maintains
proper body alignment and support reduces risk of joint dislocation

7. ANSWER: A

RATIONALE: The recommended protective steps in lateral posture to avoid complications in bending the
spine are to make sure the two shoulders are aligned with the two hips.

8. ANSWER: D

RATIONALE: In the Sims position, a pillow should be placed under the upper flexed leg from the groin to
the foot to avoid complications in internal rotation and adduction of the hip; lumbar lordosis.

9. ANSWER: D

RATIONALE: If a complication in lateral flexion of the neck is to be avoided in the Sims role, a small
pillow should be placed under the head unless the drainage of oral secretions is required.
10. ANSWER: B

RATIONALE: The pillows must keep the patients company.