A patient with a fractured pelvis and a left acetabular fracture is prescribed bedrest. When the patient asks to toilet, which measure would be appropriate?
a. Help patient up on a commode very carefully.
b. Turn patient onto right side, place the bedpan behind, and turn back.
c. Have patient sit up as high as possible and lift self up with hands pushing on the bed, then slide the bedpan underneath.
d. Ask patient to lift straight up using a trapeze mounted above the bed and slide a bedpan underneath from the right side.
ANS: D
The nurse should ask the patient to lift straight up using a trapeze mounted above the bed and slide a bedpan underneath from the right side to avoid the left fracture. A. The patient is on bedrest so a bedside commode is not appropriate. B. The patient should not be turned. C. The patient should be instructed to use the trapeze and not attempt to push self up using the bed.
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