Which interventions would the nurse implement in order to support the unresponsive client in the dorsal recumbent position?
Select all that apply.
1. Place several pillows under the client's head.
2. Place a pillow under the lower legs from knee to ankle.
3. Place trochanter rolls laterally against the femur.
4. Always place a rolled towel or small pillow under the lumbar curvature.
5. Elevate the upper arms on pillows.
Correct Answer: 2,3
Usually, only one pillow of adequate thickness would be placed under the client's head and shoulders to prevent hyperextension of the neck. Placing a pillow under the lower leg prevents hyperextension of the knees, keeps the heels off the bed, and reduces lumbar lordosis. Placing pillows against the femur prevents external rotation of the hips. A pillow should be placed under the lumbar curvature only if a space is found between the lumbar area and the bed. The nurse would elevate the forearms and hands, not the upper arms, on pillows if the client is unconscious or has paralysis of the upper extremities.
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