A patient admitted to the telemetry unit with heart failure is exhibiting signs and symptoms of pulmonary edema. The nurse is aware that positioning will promote circulation. How will the nurse position the patient?
A) In an upright position in bed or with the legs dangling over the side of the bed
B) On the left side in a supine position
C) In a supine position on the back
D) In a Trendelenburg position
Ans: A
Feedback: Proper positioning can help reduce venous return to the heart. The patient is positioned upright, preferably with the legs dangling over the side of the bed. If the patient is unable to sit with the lower extremities dependent, the patient may be placed in an upright position in bed. The supine position and Trendelenburg positions will not reduce venous return, lower the output of the right ventricle, or decrease lung congestion.
You might also like to view...
A long-term care nurse is caring for a newly admitted Jewish client. In reviewing the client's records, the nurse notes that the client has refused her meals since she was admitted 3 days ago
What would be the most appropriate intervention for the nurse to complete first? A) Notify the physician. B) Request for the dietitian to evaluate the client. C) Call the client's family and ask them to bring in food from home for the client. D) Speak to the client to see why she is not eating.
The nurse uses all of the following to assess clients with peripheral vascular disease (PVD), except:
a. inspecting the skin for color, lesions, and abnormalities. b. auscultation with a stethoscope or Doppler for arterial sounds. c. using the fingertips to assess skin temperature. d. palpating for the presence of peripheral pulses.
Identify the primary purpose for the development of the Quality and Safety Education for Nurses (QSEN) project
a. Increase the number of students in nursing programs b. Shift nursing education to a more medical model due to the increased client acuity c. Focus nursing education on competencies to reduce the number of medical errors d. Decrease the number of Associate Degree nursing programs
Precipitating stressors are stimuli that:
a. society views as being deviant or troublesome. b. the family views as disruptive or burdensome. c. the patient views as challenging, threatening, or demanding. d. the nurse views as noxious, overwhelming, or culturally unacceptable.