The nurse is caring for a client who requires frequent repositioning, and determines that proper alignment is obtained when which of the following is achieved?
1. There is little strain on the musculoskeletal system.
2. The client is in a supine position.
3. The client says she is properly aligned.
4. There are pillows under all extremities.
1
Rationale: Alignment is achieved when the client is positioned in a way that takes strain off of the muscles, joints, tendons, and ligaments. Clients cannot be consistently maintained in a supine position because it will cause skin breakdown and become uncomfortable. Clients might not be aware of when they are aligned, or they might not be able to voice when they are comfortable. Pillows can help the nurse achieve alignment, but are not required under every extremity, and should only be placed where they are needed.
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