Nokea
Which position should the nurse use for a patient who is immobile to promote lung expansion and prevent respiratory complications?
- A. Supine position with the head of the bed elevated
- B. Prone position with the head turned to the side
- C. Lateral position with the affected side down
- D. Semi-Fowler's position with the knees slightly flexed
Correct Answer: D
Rationale: Semi-Fowler's position with knees flexed promotes lung expansion in immobile patients by easing diaphragm movement, reducing respiratory complication risks like pneumonia. Supine restricts breathing, prone is impractical, and lateral may compress lungs. Nurses adopt this to optimize oxygenation, supporting recovery and comfort in those unable to shift positions independently.
You may also like to solve these questions
Which of the following Nursing diagnosis is INCORRECT?
- A. Fluid volume deficit R/T Diarrhea
- B. High risk for injury R/T Absence of side rails
- C. Possible ineffective coping R/T Loss of loved one
- D. Self esteem disturbance R/T Effects of surgical removal of the leg
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is providing discharge teaching to a client who has a prescription for digoxin. Which of the following instructions should the nurse include?
- A. Take your pulse before taking the medication.
- B. Take the medication with an antacid.
- C. Double the dose if you miss one.
- D. Take the medication with a high-fiber meal.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional is preparing to administer an intramuscular injection to a client. Which of the following actions should the healthcare professional take?
- A. Use a 1/2-inch needle.
- B. Pinch the skin at the injection site.
- C. Insert the needle at a 45-degree angle.
- D. Aspirate for blood return before injecting.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Imelda is in the recovery stage after the incident. As a nurse, you know that the diet that will be prescribed to Miss Imelda is
- A. Low calorie, High protein with Vitamin A and C rich foods
- B. High protein, High calorie with Vitamin A and C rich foods
- C. High calorie, Low protein with Vitamin A and C rich foods
- D. Low calorie, Low protein with Vitamin A and C rich foods
Correct Answer: B
Rationale: During recovery from massive tissue loss, Imelda needs a high protein, high calorie diet with vitamins A and C (B). Protein supports tissue repair and collagen synthesis, vital for wound healing. High calories provide energy for metabolic demands of recovery. Vitamins A and C enhance epithelialization and collagen formation. Low calorie options (A, D) lack energy for healing, while low protein (C, D) hinders tissue regeneration. This nutrient-rich diet matches the needs of second intention healing, where extensive repair occurs, making B the correct choice.
A nurse is caring for a client receiving oxygen therapy through a transtracheal catheter. What is an important nursing consideration for this client?
- A. Ensuring the catheter is placed in the client's nostrils
- B. Assessing the client's respiratory rate every 15 minutes
- C. Monitoring the oxygen flow rate continuously
- D. Monitoring the client for signs of oxygen toxicity
Correct Answer: D
Rationale: Monitoring for oxygen toxicity (D) is critical with a transtracheal catheter, as high oxygen delivery directly to the trachea risks lung damage or neurological symptoms. Nasal placement (A) is incorrect transtracheal is tracheal. Q15min RR (B) is excessive. Continuous flow checks (C) are routine. Toxicity monitoring, per respiratory standards, ensures safe long-term use.