Today’s NCLEX-RN® question of the day focuses on proper body alignment. Do you know the answer? Let’s find out!

The nurse in the rehabilitation unit evaluates the proper body alignment of a patient. Which action should the nurse take to perform this assessment?

A. Draw an imaginary transverse line between the patient’s shoulders

B. Draw an imaginary horizontal line from the right side of the patient’s head to the left side of their pelvis

C. Draw an imaginary vertical line from each of the patient’s shoulders to their hip crests to the knees

D. Draw an imaginary straight line from the patient’s nose to their sternum to the pubic bone and between their legs towards the feet

Scroll down for the correct answer!

The correct answer to today’s NCLEX® Question is…

D. Draw an imaginary straight line from the patient’s nose to their sternum to the pubic bone and between their legs towards the feet

Rationale: Basic positions require proper body alignment, meaning the patient’s spine is straight and not twisted. To evaluate a patient for proper body alignment, the nurse should draw an imaginary straight line from the nose to the sternum to the pubic bone and between the legs towards the feet.

Main Takeaway

Basic positions require proper body alignment, meaning the patient’s spine is straight and not twisted. The nurse can check for this by drawing an imaginary straight line from the patient’s nose to the sternum to the pubic bone and between the legs towards the feet; the legs and feet should be at an equal distance from this line. Proper body alignment allows the muscles and joints to remain free of strain. Furthermore, it reduces the workload on the heart and lungs while decreasing the risk of developing pressure injuries. If proper alignment is difficult for the patient to maintain or is uncomfortable, supportive devices, like pillows, rolled sheets, folded towels, or blankets, can be used to add additional support.

PROPER BODY ALIGNMENT
* Spine is straight
* Legs & feet should be equal distance from the line
* Lowers workload on heart & lungs
* Lowers risk of pressure injuries

Incorrect Answer Explanations

A. Draw an imaginary transverse line between the patient’s shoulders

Rationale: Drawing an imaginary transverse line between a patient’s shoulders will not properly assess body alignment.

B. Draw an imaginary horizontal line from the right side of the patient’s head to the left side of their pelvis

Rationale: Drawing an imaginary horizontal line from the right side of the patient’s head to the left side of their pelvis will not properly assess body alignment.

C. Draw an imaginary vertical line from each of the patient’s shoulders to their hip crests to the knees

Rationale: Drawing an imaginary vertical line from each of the patient’s shoulders to the hip crest to the knees will not properly assess body alignment.

Want to learn more about this topic?

Watch the Osmosis video: Immobility – Positioning and alignment: Nursing skills

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