The nurse and two unlicensed assistive personnel (UAP) are preparing to reposition a client who requires log rolling. Which actions would be appropriate? Select all that apply.
The nurse and two unlicensed assistive personnel (UAP) are preparing to reposition a client who requires log rolling. Which actions would be appropriate? Select all that apply.
Statistics
Subject/Lesson
Subject
Fundamentals
Lesson
Basic Care & Comfort
Client Need
Test Plan
Basic Care and Comfort
Related Topic
Mobility/Immobility
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choices A, C, and E are correct. These actions are appropriate during the process of log-rolling a client. It is appropriate for a client who is to be log rolled to have a pillow placed between the client's knees to prevent tension on the spinal column and adduction of the hip. Fanning out a draw sheet under the client enables staff to have strong handles to grip without slipping. The purpose of log rolling a client is to move the client in one smooth, continuous motion to prevent twisting of the spinal column.
Choice B is incorrect. To prevent a client from injuring their arms, the client should cross their arms across their chest during the repositioning.
Choice D is incorrect. Instructing the client to laterally flex the neck would defeat the purpose of log rolling, as this action causes twisting of the spinal column.
Additional Info
✓ Logrolling a client is utilized to keep the spinal column in straight alignment to prevent further injury. This turning technique is commonly used for clients with spinal cord injuries or who are recovering from neck, back, or spinal surgery. A minimum of three individuals is necessary to perform log rolling safely.
The procedure of logrolling a client:
- Place a small pillow between the client's knees.
- Cross the client's arm on their chest.
- Position two nurses on the side where the client is to be turned and one nurse on the side where pillows are to be placed behind the client's back.
- Fanfold drawsheet along the backside of the client.
- One nurse should grasp the drawsheet at the lower hips and thighs, and the other nurse should grasp the drawsheet at the client's shoulders and lower back and roll the client as one unit in a smooth, continuous motion.
- The nurse on the opposite side of the bed places pillows along the length of the client for support.
- Gently lean the client as a unit back toward pillows for support.
✓ Implement preventive measures to minimize the risk of pressure injuries during log rolling. Use pressure-relieving devices or cushions as needed, and be attentive to skin integrity.
✓ Document the log-rolling procedure in the client's medical record. Include details such as the client's response, any difficulties encountered, and the team members involved. Accurate documentation contributes to comprehensive and transparent client care records.
