A patient is being prepared for surgery on the right arm. Which actions should the nurse take to prevent brachial plexus nerve injury? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Align the arm at a 135-degree angle from the body.
2. Pronate the wrist.
3. Pad the table extension on which the arm is positioned.
4. Protect the arm from pressure exerted by operative equipment.
5. Consider intraoperative position changes if possible.
3,4,5
Rationale 1: The arm should not be raised higher than a 90-degree angle from the body.
Rationale 2: The arm should be supinated.
Rationale 3: The surfaces with which the arm is in contact should be padded.
Rationale 4: Operative equipment should not be placed so that pressure is applied to the arm.
Rationale 5: If possible, position changes during surgery will help reduce pressure injuries.
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