When performing a cleansing on a client postoperative left hip replacement, the nurse properly positions the client:
1. Lying on the right side with legs abducted.
2. Lying on the left side with legs abducted.
3. Lying on the back with legs abducted.
4. Sitting on a bedside commode or toilet with legs abducted.
3
Rationale: Normally the client would be positioned in the left lateral position with the right leg acutely flexed, but this client had surgery on the left hip, and would not tolerate this position. As a result, the nurse would position the client on her back with the legs abducted. Sitting on the commode would reduce the efficiency of the solution instillation, as it would be going against gravity.
You might also like to view...
A client has been prescribed a nasal decongestant for nasal stuffiness due to a common cold. The client is also taking an antidepressant that is a monoamine oxidase inhibitor. The nurse would warn the client about which of the following?
A) Hypotension B) Severe headache C) Sedation D) Bradycardia
After dressing a sucking chest wound, the nurse notes that the client is developing severe dyspnea, tachypnea, cyanosis, tachycardia, and asymmetrical chest movements. The nurse would
a. check the chest dressing for any air leakage. b. insert an 18-gauge needle into the pleural space. c. notify the physician. d. remove the chest dressing.
The home care client with a leg wound is unable to climb stairs to the second floor where the bathtub is located to clean and mechanically debride his wound. What is the nurse's best re-sponse?
A. "I'll show you how to use a 35-mL syringe to achieve the same effect." B. "It is no longer necessary to clean this wound because it is not infected." C. "You can use the kitchen sink and clean tap water for this purpose." D. "This is an important part of your treatment, so you will have to come to the hos-pital each day for hydrotherapy."
Efforts to bolster protections for human research subjects focus on which of the following? Select all that apply
a. Auditing records for evidence of compliance with informed consent b. Managing conflicts of interest so that research subjects are appropriately informed c. Imposing monetary penalties for violations of important research practices such as informed consent d. Education and training of clinical investigators and Institutional Review Board members e. Decreased monitoring of clinical trials