What is the primary purpose of using a trochanter roll for a patient?

Correct Answer: C

Rationale: A trochanter roll supports proper alignment of the hips and legs by preventing external rotation of the femurs, which can occur in bedridden patients. Placed along the thighs, it maintains neutral positioning, reducing strain on joints and preventing contractures or discomfort. Keeping the patient warm is a blanket's role, not a roll's. Immobilizing limbs is too broad trochanter rolls target specific alignment, not full restriction. Preventing talking is unrelated; it's a physical support tool. Nurses use this to promote musculoskeletal health, especially in immobile patients, ensuring long-term comfort and mobility preservation.

Correct Answer: C

Rationale: Providing mouth care after meals and as needed for an unconscious patient prevents bacterial buildup, dry mouth, and infections like pneumonia, addressing immediate hygiene needs. Weekly care is too infrequent, risking oral health decline. Unconscious patients can't request care, making proactive nursing essential. Limiting to visiting hours ignores clinical necessity care timing reflects patient condition, not schedules. Nurses perform this frequently, using swabs or brushes, to maintain mucosal health and comfort, a vital task in dependent care to avert complications.

Correct Answer: B

Rationale: Washing hands and putting on sterile gloves first when changing a wound dressing establishes a clean field, preventing infection by removing germs and maintaining sterility during the procedure. Reusing gloves spreads pathogens, risking wound contamination. Exposing the wound delays care and invites airborne bacteria. Avoiding discussion misses a chance to ease patient anxiety communication is key, but hygiene precedes it. Nurses follow this sequence to align with aseptic technique, ensuring the wound heals without complications, a foundational step in infection control.

Correct Answer: A

Rationale: A drawsheet prevents skin irritation during repositioning by reducing friction and shear on a patient's skin, protecting against breakdown or ulcers in bedridden individuals. Sleep quality might improve indirectly, but it's not the focus it's physical protection. Pain assessment occurs separately, not via drawsheets. Communication isn't facilitated; it's a manual aid. Nurses slide patients with this linen layer to minimize drag, preserving skin integrity, a simple yet essential technique in immobility care.

Correct Answer: C

Rationale: Using a soft toothbrush and offering assistance as needed ensures proper oral hygiene for a mobility-impaired patient by cleaning effectively while accommodating their limitations, preventing decay or infection. Weekly care neglects daily plaque buildup, risking health. Self-management may be impossible with poor dexterity or strength. Avoiding care invites complications like gingivitis discomfort comes from neglect, not care. Nurses adapt tools and techniques, brushing gently or swabbing, to maintain oral health, balancing independence with support for optimal outcomes.