The logroll turning method is used in:

Appeared in: GMCH - 2016

Explanation

The logroll turning method is specifically designed to move a patient while maintaining the spinal column in a straight, neutral alignment.
This technique is critical for patients with known or suspected spinal injuries or those who have undergone spinal surgery.
The primary goal is to prevent any twisting or flexion of the spine, which could cause further damage to the spinal cord.
It involves a coordinated effort by multiple healthcare providers to turn the patient's body as a single, solid unit.

Option A: A lung abscess is a localized collection of pus in the lung tissue. Management focuses on respiratory care, such as postural drainage to help clear secretions, not on maintaining spinal alignment.
Option B: Patients who have had a cerebrovascular accident (stroke) require frequent repositioning to prevent complications like pressure ulcers and contractures. However, the specific logroll technique is not required unless there is a co-existing spinal injury.
Option D: Epilepsy is a neurological disorder characterized by seizures. Nursing care during a seizure focuses on protecting the patient from injury and maintaining a patent airway. Logrolling is not indicated for seizure management.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Indications for Logroll Turning Method as background academic context rather than a clinical decision trigger.
Properly performing a logroll is a fundamental patient safety skill to prevent secondary spinal cord injury, which can result in permanent paralysis or other severe neurological damage.
Nurses must be able to quickly assess a trauma situation and determine if a spinal injury is possible, initiating spinal precautions (including logrolling) until an injury is ruled out.
What if? If a patient with a suspected spinal injury needs to be moved and there aren't enough staff members available to perform a logroll safely, the nurse's priority is to stabilize the patient's head and neck, call for immediate assistance, and not attempt to move the patient until an adequate team is assembled.

How to Approach the Question

First, identify the key procedure in the question: 'logroll turning method'.
Recall the primary purpose of this specific procedure. The term 'log' implies keeping something straight and rigid, like a log of wood. This points to maintaining spinal alignment.
Evaluate each option based on this primary purpose.
Does a lung abscess require a rigid spine? No, it requires lung drainage.
Does a CVA require a rigid spine? No, it requires pressure relief.
Does epilepsy require a rigid spine? No, it requires airway protection and safety from injury.

Concept Tested & Keywords

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E6 Nursing Fundamentals Taylor pp. 335-337, 360-362

E6 Nursing Fundamentals Potter Perry 12e Part 4 p. 166-168

Practise the full GMCH - 2016

Attempt every question from this paper in a timed mock, then review the full solution for each one.