Nokea
The perioperative nurse is documenting a client's current health status. It would be correct for the nurse to document the client's current position as: See the image in the exhibit.
- A. Prone
- B. Supine
- C. Trendelenburg position
- D. The Sims’ position
Correct Answer: C
Rationale: This picture shows the Trendelenburg position. The body is laid supine or flat on the back on a 15-30 degree incline with the feet elevated above the head. The Trendelenburg position increases the venous blood return to the heart when a client is affected by hypotension, hypovolemia, or shock. This position also improves spinal anesthesia's effects and prevents air embolism during central venous cannulation
You may also like to solve these questions
The nurse prepares a client for a positron emission tomography (PET) scan. Which laboratory data is necessary to obtain before this test?
- A. Urine specific gravity
- B. Liver function tests
- C. Blood glucose
- D. Creatine kinase
Correct Answer: C
Rationale: PET scans often use glucose-based tracers, so blood glucose levels must be checked to ensure accurate imaging. Other labs are not routinely required.
The occupational health nurse is teaching a group of unlicensed assistive personnel how to practice appropriate ergonomics. It would be appropriate for the nurse to recommend that
- A. your feet are firmly on the floor while you are sitting in a chair
- B. Your feet are close together as you move or transfer a client.
- C. heavy objects are held far away from your body to achieve balance.
- D. you should squat to lift objects off of the ground.
- E. your neck should be extended as you look at the computer monitor.
Correct Answer: A,D
Rationale: Feet on the floor and squatting to lift reduce strain. A wide stance, holding objects close, and neutral neck position are correct ergonomic practices.
The nurse is caring for a child admitted with varicella (chickenpox). Which of the following actions should the nurse take?
- A. Have a designated blood pressure cuff in the client's room.
- B. Remove all gowns and gloves after exiting the client's room.
- C. Clean commonly touched surfaces with warm, soapy water.
- D. Wear a protective gown when transporting the client to other departments.
Correct Answer: A,B
Rationale: A designated BP cuff and removing PPE after exiting prevent varicella spread (airborne and contact). Soapy water is insufficient, and gowns during transport are unnecessary if precautions are followed.
The nurse has attended a staff education program about infection control precautions. It would indicate a correct understanding of the teaching if the nurse is observed
- A. Placing a client with Cryptococcosis pneumonia on standard precautions.
- B. Wearing a particulate respirator mask (N95) when caring for a client with pharyngeal diphtheria.
- C. Removing alcohol-based hand rubs from a client's room who has mononucleosis.
- D. Placing a client who is incontinent of stool with Hepatitis A on contact precautions.
- E. Instructing a client with latent pulmonary tuberculosis to wear a surgical mask while in the hallway.
Correct Answer: A,D
Rationale: Cryptococcosis requires standard precautions, and Hepatitis A with incontinence requires contact precautions due to fecal-oral transmission. N95 is needed for TB, not diphtheria; hand rubs are safe for mononucleosis; latent TB does not require masking.
The nurse is performing a focused physical assessment on a client's gastrointestinal system. Place the following actions in the order in which they should be performed, starting from first to last.
- A. Place pillows beneath the client's knees.
- B. Ask the client to void.
- C. Inspect the abdomen.
- D. Palpate the abdomen.
- E. Auscultate all four quadrants of the abdomen.
- F. Position the client supine with the knees bent and the arms at their side.
Correct Answer: B,F,C,E,D
Rationale: The correct order is: ask to void (B), position supine (F), inspect (C), auscultate (E), palpate (D). Voiding and positioning prepare the client, and inspection precedes auscultation to avoid altering bowel sounds. Pillows are not standard.