The nurse is assessing a child who has significant edema. The nurse finds an increasing respiratory rate and some rales. Which of the following nursing interventions would be best?
a. Place the child in a semi-Fowler's position.
b. Elevate the head of the bed.
c. Place shock blocks under the foot of the bed.
d. Elevate the child's legs on pillows.
B
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A Incorrect: The nurse is assessing a child who has significant edema. The nurse finds an increasing respiratory rate and some rales. The best nursing intervention would not be to place the child in a semi-Fowler's position.
B Correct: The nurse is assessing a child who has significant edema. The nurse finds an increasing respiratory rate and some rales. The best nursing intervention would be to elevate the head of the bed because these signs often reflect pulmonary edema.
C Incorrect: The best nursing intervention would not be to place shock blocks under the foot of the bed for the child with pulmonary edema.
D Incorrect: The best nursing intervention would not be to elevate the child's legs on pillows.
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