How should a nurse position a patient during a thoracentesis?
a. Side-lying with bed in a Trendelenburg position
b. High Fowler position with feet elevated
c. Sitting on the side of the bed bent over bedside table
d. Prone with the bed elevated
C
The patient sits on the side of the bed and leans the upper torso over the bedside table with the head resting on folded arms or pillows. If the patient is unable to sit up, then a side-lying position with the head of the bed elevated 30 degrees may be used.
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A 5-year-old is in the playroom when the respiratory therapist arrives on the pediatric unit to give the child a scheduled breathing treatment. The nurse should:
1. Reschedule the treatment for a later time. 2. Show the respiratory therapist to the playroom so the treatment can be performed. 3. Escort the child to his room, and ask the child life specialist to bring toys to the bedside. 4. Assist the child back to his room for the treatment but reassure him that he may return when the procedure is completed.
The nurse understands that stress incontinence occurs:
a. With a urinary tract infection (UTI) b. Because of emotional strain c. As a result of increased intraabdominal pressure d. With a specific amount of urine in the bladder
A patient who has received a bone marrow transplant develops a maculopapular rash on the palms of both hands and the soles of the feet. The patient complains of severe abdominal pain with bloody diarrhea
What should the nurse suspect this patient is experiencing? 1. graft-versus-host disease 2. chronic tissue rejection 3. acute tissue rejection 4. hyperacute tissue rejection
The nurse determines that the client's wound may be infected. In order to perform an aerobic wound culture, which of the following actions should the nurse take?
a. Collect the superficial drainage. b. Collect the culture before cleansing the wound. c. Obtain a culturette tube and use sterile technique. d. Use the same technique as for collecting an anaerobic culture.