A client needs an abduction pillow placed. How should the practical nurse (PN) position the client prior to placing the pillow?
A
B
C
None
None
None
The Correct Answer is C
A: The legs are already in adduction (crossing the midline) and flexion, which are movements that are contraindicated after hip surgery and could cause dislocation.
B: The legs are straight but the feet are externally rotated, which is a movement that needs to be prevented and is not the ideal neutral position for placement.
C. To place an abduction pillow, the PN should have the client lie flat on their back with legs straight and parallel and slightly apart. Afterward, the pillow is positioned between the legs to maintain hip alignment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Platelet count 135,000/mm³ or 135 x 10⁹/L: This mild thrombocytopenia is a common effect of chemotherapy and does not require urgent intervention unless the count drops below 100,000/mm³ or active bleeding occurs.
B. Blood urea nitrogen 75 mg/dL or 12.9 mmol/L: A BUN level this high indicates severe renal impairment or dehydration, both of which are critical in a chemotherapy patient. Renal dysfunction can result from nephrotoxic effects of chemotherapeutic drugs and must be reported immediately to prevent further kidney damage.
C. Decreased deep tendon reflexes: While this may suggest electrolyte imbalance or peripheral neuropathy, it is not immediately life-threatening and can be monitored until further evaluation.
D. Periodic nausea and vomiting: These are expected side effects of chemotherapy and, though uncomfortable, do not represent an acute or life-threatening condition compared to severe renal dysfunction reflected by the elevated BUN.
Correct Answer is A
Explanation
A. Quinapril: Quinapril is an angiotensin-converting enzyme (ACE) inhibitor. A persistent dry cough is a well-known side effect due to accumulation of bradykinin in the respiratory tract. Clients should be informed that the cough may resolve after discontinuation or switching to another antihypertensive class.
B. Spironolactone: Spironolactone is a potassium-sparing diuretic and does not commonly cause a dry cough. Its primary side effects include hyperkalemia, gynecomastia, and menstrual irregularities rather than respiratory symptoms.
C. Losartan: Losartan is an angiotensin II receptor blocker (ARB) and is less likely to cause a cough. It is often used as an alternative for clients who develop a cough with ACE inhibitors.
D. Clonidine: Clonidine is an alpha-2 adrenergic agonist used for hypertension. Common side effects include sedation, dry mouth, and hypotension, but it does not typically produce a persistent dry cough.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today