Fundamentals of Nursing Q 480
A nurse determines that a fracture bedpan should be used for the patient who:
A. Has a spinal cord injury
B. Is on bedrest
C. Has dementia
D. Is obese
Correct Answer: A. Has a spinal cord injury
A fracture bedpan has a low back that promotes function of the patient’s lower back while on the bedpan. The fracture pan has one flat end for ease of use with specific patient populations: i.e. hip fractures, hip replacements, or lower extremity fractures. Using the toilet may be a source of discomfort and embarrassment among all genders. Semi-private rooms or shared wards and hospital overcrowding are a challenge regarding patient privacy.
Option B: Bedpans come in regular size or a smaller, fracture pan. Bedpans are chosen based on diagnosis, patient comfort or preference and if any contraindications exist for using the regular size such as a fracture. The regular bedpan is larger than its fracture counterpart. Bariatric bedpans are available up to a 1200-pound (544-kg) capacity.
Option C: A patient that can assist with care by raising their hips is approached differently than a patient that cannot lift their hips due to surgical considerations, fractures, or other contraindications. In both cases, ensure the patient is pulled up as high as they can be on the stretcher or bed. If they can assist with raising their hips, then raise the head of the bed at least thirty degrees.
Option D: Positioning in this Semi-Fowler’s position allows for anatomical support and facilitates ease of defecation or urination by assuming a natural position for these bodily functions. According to a 2003 study, body positioning has a significant influence on intestinal gas propulsion and transit times with gastric flow being faster in the upright position than when supine [Dainese, Serra, Azpiroz & Malagelada, 2003].