A fourteen-year-old girl has returned to the nursing unit after undergoing an appendectomy. To help relieve pain and facilitate drainage, the nurse should place her in what position?
Semi-Fowler's
Supine
Prone
Trendelenburg
The Correct Answer is A
Choice A reason: This is correct because the semi-Fowler's position, which is a 30 to 45 degree angle of the head of the bed, allows for optimal drainage of the surgical site and reduces the pressure on the incision. It also helps the girl breathe easier and prevents aspiration.
Choice B reason: This is incorrect because the supine position, which is lying flat on the back, can increase the pain and discomfort of the girl after the appendectomy. It can also impair the drainage of the surgical site and increase the risk of infection.
Choice C reason: This is incorrect because the prone position, which is lying on the stomach, can cause more pain and pressure on the incision site. It can also interfere with the drainage of the surgical site and increase the risk of infection.
Choice D reason: This is incorrect because the Trendelenburg position, which is a head-down tilt of the bed, can increase the intra-abdominal pressure and cause more pain and discomfort for the girl. It can also impair the venous return and cause hypotension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The squeeze bottle and ESSR method of feeding are recommended for infants with cleft lip and palate as they allow for better control of the flow and volume of the formula, prevent air swallowing and aspiration, and promote oral stimulation and development.
Choice B reason: Supplemental feeding through an N/G tube is not usually necessary for infants with cleft lip and palate unless they have severe feeding difficulties, failure to thrive, or other complications. The goal is to promote oral feeding as much as possible.
Choice C reason: Adding rice cereal to the formula is not advised for infants with cleft lip and palate as it can increase the risk of aspiration, choking, and infection. Rice cereal can also interfere with the absorption of iron and other nutrients from the formula.
Choice D reason: Infants with cleft lip and palate usually have a hard time breastfeeding as they cannot create a proper seal and suction with the nipple. Breastfeeding may be possible with some modifications and support, but it is not the norm.
Correct Answer is D
Explanation
Choice A reason: This statement is incorrect, as 5% is too high for the risk of mother-to-child transmission of HIV with ART. According to the World Health Organization (WHO), the risk of transmission can be reduced to less than 5% with effective interventions, such as ART, safe delivery practices, and appropriate infant feeding¹.
Choice B reason: This statement is incorrect, as 20% is too high for the risk of mother-to-child transmission of HIV with ART. According to the WHO, the risk of transmission can be reduced to less than 5% with effective interventions, such as ART, safe delivery practices, and appropriate infant feeding¹.
Choice C reason: This statement is incorrect, as 15% is too high for the risk of mother-to-child transmission of HIV with ART. According to the WHO, the risk of transmission can be reduced to less than 5% with effective interventions, such as ART, safe delivery practices, and appropriate infant feeding¹.
Choice D reason: This statement is correct, as 1% is the approximate risk of mother-to-child transmission of HIV with ART. According to HIV.gov, if a woman with HIV takes HIV medicine as prescribed throughout her pregnancy and childbirth and gives HIV medicine to her baby for 2-6 weeks after giving birth, the risk of transmitting HIV to the baby can be less than 1%.
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