The "Logrolling" of a patient is done in case of

Appeared in: GMCH - 2015

Explanation

Logrolling is a specific technique used to turn a patient while keeping the spinal column in a straight, un-flexed alignment.
It is the standard procedure for patients with known or suspected spinal injuries, such as a spine fracture, to prevent further damage to the spinal cord.
Any twisting or bending motion in a patient with a spinal fracture could cause bone fragments to sever or compress the spinal cord, leading to permanent paralysis.
The procedure involves moving the patient's body as a single, rigid unit, much like a log, requiring a coordinated team of healthcare providers.

Option B: A femur fracture is a fracture of the thigh bone. The priority is to immobilize the affected leg and manage pain, not to keep the entire spine rigid.
Option C: For a rib fracture, the focus is on pain control and promoting deep breathing to prevent lung complications like atelectasis or pneumonia. Strict spinal immobilization is not required.
Option D: A clavicle (collarbone) fracture is treated by immobilizing the arm and shoulder on the affected side, typically with a sling. It does not necessitate spinal precautions.

Clinical Relevance

Nursing practice connection: Use the key finding related to Indications for the logrolling maneuver in patient care to guide bedside assessment, documentation, and the next nursing action.
Proper execution of the logrolling technique is a fundamental patient safety skill for nurses to prevent iatrogenic (medically-induced) spinal cord injury.
The nurse positioned at the patient's head assumes the leadership role during the maneuver, directing the team and ensuring the head, neck, and spine remain aligned at all times.
Clear, concise communication among the team members is essential for a safe and effective logroll.

How to Approach the Question

First, identify the key term in the question: "Logrolling".
Recall the definition and purpose of this procedure. The name itself, "logrolling," implies moving the body as a single, stiff unit without bending.
Consider which anatomical structure requires this type of rigid immobilization during movement. This directly points to the spinal column.
Evaluate each option based on this understanding:
Spine fracture: Directly requires spinal immobilization. This is a perfect match.
Femur, Rib, Clavicle fractures: These are injuries to limbs or the thoracic cage. While they need careful handling, they do not require the entire spine to be kept in a straight line during turning.

Concept Tested & Keywords

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E6 Nursing Fundamentals Taylor pp. 335-337, 334-336

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

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