The nurse initiates the following intervention upon receiving a client back to the clinical unit after a throat-related procedure, "Elevate the head of the bed 45°." This assists in meeting which nursing goal?
A) The client will have decreased pain.
B) The client will remain alert and oriented.
C) The client will have decreased edema.
D) The client will have increased tissue perfusion.
C
Feedback:
Elevating the head of the bed 45° when the client is fully awake decreases surgical edema and increases lung expansion. At this point in the recovery, elevating the head of the bed will not decrease the surgical pain as pain medication will be needed. Elevating the head of the bed will not affect mentation nor increase the blood supply.
You might also like to view...
While the nurse is removing a fecal impaction, the client begins to perspire profusely and complains of shortness of breath. The nurse notes that the client's pulse rate has slowed to 44 beats per minute. Which is the priority action by the nurse?
1. Holding the fingers still until the symptoms stop, and then resuming removal of fecal impaction 2. Stopping the procedure immediately 3. Continuing the procedure, and monitoring the client carefully 4. Stopping the procedure and calling the health care provider immediately
The mother of preschool-age client tells the nurse that the client has frequent fevers. Which response by the nurse is appropriate?
A) "Fevers are most frequently seen in children because of developing immunity." B) "This is unusual because common diseases of childhood rarely result in fevers." C) "Your child must be around people with illnesses." D) "Your child's immunity is compromised."
What would be your first nursing intervention when caring for a client with a somatoform disorder?
A) Establishing a trusting relationship B) Providing a comfortable environment C) Identifying positive feelings that the client may have D) Helping the client face his or her responsibilities
A __________ is used to make a mattress more firm
A) bolster. B) pad. C) bed board. D) frame.