The nurse is conducting a physical assessment of a middle-age client upon admission to the cardiovascular care unit for cardiopulmonary problems. Which position is likely to be contraindicated for this client?
A) Sitting with back unsupported
B) Supine (horizontal recumbent)
C) Dorsal recumbent (back-lying)
D) Sims (side-lying)
Answer: C
Placing clients with cardiopulmonary problems in the dorsal recumbent position (back-lying with knees flexed and hips externally rotated) is more likely to be contraindicated because of the increased physiologic stress that this position places on the body. The other positions noted-sitting (whether with back supported or unsupported), supine (horizontal recumbent), and side-lying (Sims)-are typically better tolerated by clients with cardiopulmonary illness than the dorsal recumbent position.
You might also like to view...
Medicare requires that a nurse make a home visit for the purpose of supervision at least every _____ days
A. 3 B. 7 C. 10 D. 14
Which statement best demonstrates the understanding of appropriate nurse delegation in today's healthcare environment?
A) "This is my first shift with this team. How was the care delegated yesterday?" B) "We are working with fewer team members today. Who has experience with chest tubes?" C) "Our clients are really high acuity. We will really need to work as an effective team today." D) "As team leader, come to me if you feel you need help or are unclear with what you need to do."
An elderly man saw a flyer about a free influenza immunization clinic at the senior citizens' center. Which of the following would be his best choice of action?
a. Attending the free immunization clinic to say hello to his social contacts b. Bringing his elderly wife and both receive the influenza immunization c. Realizing that at his advanced age, he's already immune to influenza, and so he does not need to attend the clinic d. Recalling that he and his spouse received an influenza vaccine last year, and so they already have immunity
Family development is marked by a series of stages and tasks. Tasks such as development of increasing autonomy for the children, a refocusing on midlife marital and career issues, and a growing concern for the older generation are characteristics of which
1. Aging families 2. Establishment stage 3. Families with adolescents 4. Launching stage 5. Middle-age families