A nursing assistant is repositioning a resident into the right lateral position. Which action is most important to prevent a pressure injury during this positioning?
- A.Place the resident directly on their right hip with both legs extended
- B.Position the resident at a 90-degree angle on their side with knees together
- C.Use pillows to support the back, position the resident at a 30-degree lateral tilt, and place a pillow between the knees
- D.Avoid using pillows because they restrict circulation
Show answer & rationale
Correct answer
C. Use pillows to support the back, position the resident at a 30-degree lateral tilt, and place a pillow between the knees
Rationale
C is correct: The 30-degree lateral tilt (rather than full 90-degree lateral) redistributes pressure away from the greater trochanter (a high-risk bony prominence). A pillow between the knees prevents medial knee-to-knee pressure, and back support maintains position. This approach follows evidence-based pressure injury prevention guidelines. A is incorrect: Placing the resident directly on the hip without any tilt concentrates pressure on the greater trochanter, one of the most common pressure injury sites. B is incorrect: A 90-degree lateral position places maximum pressure on the greater trochanter and should be avoided for pressure injury prevention. D is incorrect: Pillows are essential positioning aids for pressure redistribution; they do not restrict circulation when used correctly.
Key concepts