A patient, age 45, has had a left intramedullary rod placed into his left femur. He is presenting with signs and symptoms of postoperative shock. The recommended position for a person going into shock is
a. semi-Fowler's.
b. supine.
c. Fowler's
d. Trendelenburg.
B
The patient should remain flat in bed. Avoid the Trendelenburg position because it pushes the abdominal organs against the diaphragm, affecting the lung and heart.
You might also like to view...
A community health nurse assesses a community and finds that several nuclear families living in the same household or near one another share goods and services. The nurse identifies this as which family structure?
A) Multigenerational family B) Augmented family C) Blended family D) Kin-network
The nurse discontinues the client's IV prior to discharge. After removing the catheter, which actions by the nurse are appropriate? Select all that apply
1. Applying pressure to the insertion site until bleeding stops 2. Examining the removed catheter to ensure that it is intact 3. Teaching the client to inform the nurse if the site begins to bleed at any time 4. Holding the client's extremity below the level of the heart if bleeding persists 5. Covering the venipuncture site with a sterile dressing
The nurse provides patient teaching before a lumbar puncture. Which information does the nurse include about patient activity during the procedure?
a. "We'll want to know if you are hurting.". b. "I'll place you in a semi-Fowler's posi-tion.". c. "It is essential to remain still during the procedure.". d. "We'll restrict your fluids after the test is done.".
What vaginitis does this patient most likely have?
A 48-year-old high school librarian comes to your clinic, complaining of 1 week of heavy discharge causing severe itching. She is not presently sexually active and has had no burning with urination. The symptoms started several days after her last period. She just finished a course of antibiotics for a sinus infection. Her past medical history consists of type 2 diabetes and high blood pressure. She is widowed and has three children. She denies tobacco, alcohol, or drug use. Her mother has high blood pressure and her father died of diabetes complications. On examination you see a healthy-appearing woman. Her blood pressure is 130/80 and her pulse is 70. Her head, eyes, ears, nose, throat, cardiac, lung, and abdominal examinations are unremarkable. Palpation of the inguinal lymph nodes is unremarkable. On visualization of the vulva, a thick, white, curdy discharge is seen at the introitus. On speculum examination there is a copious amount of this discharge. The pH of the discharge is 4.1 and the KOH whiff test is negative, with no unusual smell. Wet prep shows budding hyphae. A) Trichomonas vaginitis B) Candida vaginitis C) Bacterial vaginosis D) Atrophic vaginitis