Florida Nursing Assistant Competency Pracrice Exam

What equipment should be used to prevent external rotation of the hip in a bed fast client?

1. A trochanter roll

2. A bed rail

3. A footboard

4. A cushion

The correct answer is: A trochanter roll

A trochanter roll is specifically designed to help prevent external rotation of the hip in patients who are bedridden. This cylindrical roll is placed alongside the hip and thigh to maintain proper alignment and prevent the leg from turning outward, which can lead to complications such as hip dislocation or misalignment. By using a trochanter roll, you effectively support the natural position of the leg and keep the hips stable. This is particularly important for clients who may be at risk due to immobility or post-surgical status. The roll ensures that the legs remain in an appropriate anatomical position, which is essential for both comfort and to promote healing. The other equipment types listed do not serve the same purpose. For instance, a bed rail primarily provides support and prevents falls, while a footboard is used to keep the feet from sliding down in bed. A cushion may enhance comfort but does not effectively prevent hip rotation like a trochanter roll does. Therefore, the trochanter roll is the best choice for maintaining hip positioning in a bedridden client.