The practical nurse (PN) assists a client to a supine position. What should the PN use to prevent external rotation of the client’s hips?
A.
Foam mattress pad.
B.
Trapeze bar.
C.
Trochanter rolls.
D.
Draw sheet.
The Correct Answer and Explanation is:
The correct answer is C. Trochanter rolls.
When positioning a client in the supine position, it is crucial to maintain proper alignment and prevent complications such as external rotation of the hips. Trochanter rolls are specifically designed to help achieve this by providing support to the greater trochanter of the femur, which is the bony prominence located on the upper part of the thigh bone.
Trochanter rolls are cylindrical cushions made from soft materials, and they are placed alongside the thighs when the client is in the supine position. Their primary function is to keep the thighs in alignment with the pelvis, preventing them from rolling outward. This is particularly important for clients who may be at risk of hip dislocation or who have conditions that affect hip stability, such as arthritis or after hip surgery.
Using trochanter rolls can also help reduce strain on the hip joints and minimize the risk of developing pressure ulcers, as they create a more stable and comfortable position for the client. Properly positioned, trochanter rolls can enhance overall comfort and safety, making it easier for nursing staff to care for the client while adhering to best practices in patient handling and positioning.
While foam mattress pads (A) can provide some support and comfort, they do not specifically prevent external rotation. A trapeze bar (B) assists clients in repositioning themselves but does not directly prevent hip rotation. A draw sheet (D) is used for moving clients and does not provide the necessary support to maintain hip alignment. Therefore, trochanter rolls are the best option to ensure stability and proper alignment of the client’s hips in a supine position.