Nurse Aide NNAAP Exam Prep

Category - Physical Care

Tim is an 83-year-old nursing home patient with a diagnosis of hip fracture. His hip must stay in alignment to heal, but he is sitting in a standard sling seat wheelchair. How could Tim’s chair be adapted to align his hip while it heals?

  1. Provide Tim with a new wheelchair that the nursing home must pay for.
  2. Provide Tim with a custom seat and back insert that conforms to his body.
  3. Provide Tim with a solid seat insert and a cushion with an abductor pommel.
  4. Provide Tim with a gel cushion.
Explanation

Answer: C. You might suggest Tim adapt his chair by providing him with a solid seat insert and a cushion with an abductor pommel. The solid seat insert will reduce the sling effect of Tim’s wheelchair seat, and the cushion with the abductor pommel will keep Tim’s knees separated and his hips in alignment. You can always note this discomfort to a doctor, nurse, or physical therapist who can help make the adjustment.

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