CNA Certification (Written Exam)Restorative SkillsHard
A bed-bound resident is placed in the lateral position. To prevent nerve damage and pressure on the hip and shoulder, which supportive device should be used under the upper arm and leg?
- AA flat sheet folded once.
- BA small, firm pillow rolled tightly.
- CA standard pillow or folded blanket.
- DA donut-shaped cushion.
Show answer & explanationAnswer & explanation
Correct answer: C. A standard pillow or folded blanket.
When positioning a resident in the lateral (side-lying) position, a standard pillow or folded blanket should be placed under the upper arm and leg to support them and prevent direct pressure on the hip and shoulder of the dependent side, as well as to keep the upper limbs from resting directly on each other. This helps maintain proper alignment and prevents nerve compression and skin breakdown.
Why the other options are wrong
- A. A flat sheet folded once would not provide enough cushioning or support to adequately relieve pressure or maintain alignment.
- B. A small, firm, tightly rolled pillow might create too much pressure in a localized area and not provide broad enough support.
- D. Donut-shaped cushions are generally contraindicated as they can cause pressure around the hole, increasing the risk of pressure injury.
Lateral Position Support
In the lateral position, pillows are used to support the upper arm and leg, preventing pressure on bony prominences and nerve compression.
- Maintains spinal alignment.
- Prevents skin-on-skin contact.
- Reduces pressure on hip, shoulder, and ear.
Memory trick: Pillows prop, donut drops, sheet's no help, firmness stops.