A nurse is caring for a client who has returned to the recovery unit following a craniotomy. The nurse can safely place the client in which of the position?
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Solution
Semi-fowlers position with the head in a midline position.
Post-craniotomy client should be placed in a semi-fowlers position and the head is in a midline position to facilitate venous drainage from the head.
Which is the best position for a client with autonomic dysreflexia?
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Solution
High Fowler’s Position.
Autonomic dysreflexia is a condition in which there is a sudden onset of excessively high blood pressure. If it occurs, immediately place the client in a high fowler’s position to promote adequate ventilation and assist in the prevention of a hypertensive stroke.
A client is to be on a bed rest for 24 hours and the affected extremity is to be kept straight during this time. Which of the following procedure would require a client to do the above?
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Solution
Arterial Vascular Grafting.
To promote graft patency after the procedure, bedrest is maintained for the first 24 hours and the affected extremity is kept straight.
A nurse is preparing to care for a client who had undergone an above-knee amputation of the right leg. The nurse plans to allow which position for the client on the first 24 hours?
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Solution
Supine position, with the affected limb supported with pillows.
The amputated limb is usually supported with pillows on the first post-op day to promote venous return and reduces edema.
A client has just returned to a nursing unit after a cardiac catheterization performed using the femoral artery. The nurse places the client in which position?
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Solution
Bed rest with head elevation at 30°.
During a cardiac catheterization, if the femoral artery was accessed for the procedure, the client is maintained on bed rest for 4 to 6 hours and the affected extremity is maintain straight and the head is elevated of no more than 30°.
Nurse Sandra had just received a postoperative total hip replacement client from the recovery unit. Which is the best position in which she should place the client?
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Solution
On the nonoperative side with the legs abducted.
Abduction is maintained when the client is in a supine position or positioned on the non-operative side.
Nurse Justin is taking care a client with deep vein thrombosis. Which position should be provided to the client?
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Solution
Bed rest with the affected extremity elevated.
Bed rest is indicated to prevent emboli while the elevation of the affected leg facilitates blood flow by the force of gravity and reduces pain and edema.
What type of client would benefit the most from an elevated head of the bed position?
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Solution
Patient who had a laryngectomy.
Place a post-laryngectomy client with head of bed elevated at 30-45 degrees to maintain a patent airway and reduce edema.
Option A: Hemorrhoidectomy: Supine position.
Option C: Liver biopsy: Right side-lying position.
Option D: Lumbar puncture: Supine position for at least 4 hours.
Nurse Maria is administering a cleansing enema to a client with severe constipation. She will place the client in which position?
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Solution
Left Sim’s position.
During a cleansing enema, place the client in the left Sim’s position to allow the solution to flow by gravity in the natural direction of the colon.
A client with pleural effusion is scheduled to have a thoracentesis. The nurse on duty will assists the client to which position during the procedure?
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Solution
Lying in bed on the unaffected side with head of bed elevated about 45°.
During thoracentesis, to facilitate removal of pleural fluid from the pleural space, position the client sitting on the edge of the bed, leaning over a bedside table with the feet supported on a stool, or lying in bed on the unaffected side with head of bed elevated about 45°.
Nurse Ian is handling a client with gastroesophageal reflux disease. Which of the following position will best help the client in this case?
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Solution
Reverse Trendelenburg position.
Reverse Trendelenburg position is advised to a client to promote gastric emptying and prevent gastroesophageal reflux.
Which of the following does not match with the appropriate position?
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Solution
Hypophysectomy: Prone position.
Hypophysectomy is the surgical removal of the hypophysis (pituitary gland). After the surgery, the client head of bed is elevated to prevent increase intracranial pressure.
A nurse is caring for a client with severe burns of the face and head. The nurse will place the client in which position?
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Solution
Head of bed elevated.
For clients with burns on the face and head, the best position is to elevate the head of bed to reduce the occurence of facial edema.
Nurse Monica is handling a female client who had undergone a mastectomy. Which is the best position in which she should place the client?
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Solution
Head of bed elevated at least 30°.
Position a post-mastectomy client with the head of bed elevated at least 30 degrees, with the affected arm elevated on a pillow to promote lymphatic fluid return after the removal of axillary lymph nodes.
Nurse Aaron is inserting a nasogastric tube to a stroke client. He understands that the best position for the insertion is?
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Solution
High Fowlers.
The best position during a nasogastric tube insertion is sitting or High fowlers position in order to prevent the risk of aspiration.