NCLEX-RNBasic Care and ComfortEasy
A client returns from spinal fusion surgery with an order to maintain strict spinal alignment. Which technique should the nurse use when repositioning this client in bed?
- AHave the client push up with the arms to reposition independently
- BUse a logrolling technique with at least two staff members
- CAsk the client to bend the knees and pivot the hips while turning
- DRaise the head of the bed to 90 degrees before turning the client
Show answer & explanationAnswer & explanation
Correct answer: B. Use a logrolling technique with at least two staff members
Logrolling keeps the spine in a straight line and prevents twisting of the vertebral column, which is essential after spinal fusion surgery. Two or more staff members are needed to move the head, trunk, and legs as one unit.
Why the other options are wrong
- A. Independent pushing can cause spinal twisting and is unsafe.
- C. Pivoting the hips independently causes torsion of the spinal column.
- D. Raising the head of the bed flexes the spine, which is contraindicated.
Logrolling
A technique used to turn a client as a single unit while maintaining spinal alignment, typically after spinal surgery or injury.
- Requires 2-3 staff members for proper support
- Keeps head, shoulders, and hips aligned during the turn
- Prevents twisting or flexion of the spinal column
Memory trick: Log stays straight — so does the spine when you roll it.