A client in the PACU with an endotracheal tube should be placed in which position by the nurse?
a. Supine
b. Side-lying
c. High Fowler's
d. Trendelenburg
ANS: C
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A nurse is assessing clients on a medical-surgical unit. Which adult client should the nurse identify as being at greatest risk for insensible water loss?
a. Client taking furosemide (Lasix) b. Anxious client who has tachypnea c. Client who is on fluid restrictions d. Client who is constipated with abdominal pain
The patient who had a nephrectomy yesterday has not used the patient-controlled analgesia (PCA) delivery system but admits to being in pain but fearful of addiction. What is the nurse's best response?
a. "Modern analgesic drugs do not cause addiction." b. "Pain relief is worth a short period of addiction." c. "Addiction rarely occurs in the brief time postsurgical analgesia is required." d. "Addiction could be a real concern."
The nurse is instructing the unlicensed assistive personnel (UAP) on fall prevention for the clients. Which statement made by the UAP warrants further instruction?
1. "I will ensure that the call light is within reach of the client." 2. "I will make sure to have at least one side rail up at all times." 3. "I don't have to worry about the clients who are bedridden, as they are moved by the staff." 4. "I will make sure that the bed is in the lowest position prior to leaving the room."
To enhance gas exchange, the nurse would position a patient who had a left pneumonectomy this morning:
1. on the right side. 2. on the left side. 3. in a semi-Fowler's position. 4. flat, with a small pillow.