A nurse is caring for a client who has a closed head injury. In which of the following positions should the nurse place the client?
Sims
Modified Trendelenburg
Semi-Fowler's
Prone
The Correct Answer is C
Choice A: This is incorrect because Sims position is used for clients who have lower back pain, abdominal surgery, or enemas. It is not appropriate for clients who have a closed head injury.
Choice B: This is incorrect because modified Trendelenburg position is used for clients who have hypovolemic shock or poor venous return. It is not appropriate for clients who have a closed head injury.
Choice C: This is correct because semi-Fowler's position is used for clients who have increased intracranial pressure, respiratory distress, or head trauma. It elevates the head and chest to reduce cerebral edema and facilitate breathing.
Choice D: This is incorrect because prone position is used for clients who have acute respiratory distress syndrome, spinal cord injury, or pressure ulcers. It is not appropriate for clients who have a closed head injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: This is correct. Phototherapy is a treatment option for psoriasis that involves exposing the skin to ultraviolet light, which can reduce inflammation and slow down the growth of skin cells.
Choice B: This is incorrect. Oil-based ointment is not recommended for psoriasis, as it can clog the pores and worsen the condition.
Choice C: This is incorrect. Dermabrasion is a cosmetic procedure that involves removing the outer layer of skin with a rotating device, which can cause bleeding, infection, and scarring.
Choice D: This is incorrect. Benzoyl peroxide is an acne medication that can dry out and irritate the skin, which can aggravate psoriasis.
Correct Answer is D
Explanation
Choice A reason: Discarding soiled wound care supplies in a trash receptacle outside the client's room is not an appropriate action. The nurse should dispose of contaminated materials in a biohazard container inside the client's room to prevent the spread of infection.
Choice B reason: Administering antibiotic therapy before culturing the client's wound is not an appropriate action. The nurse should obtain a wound culture before starting antibiotic therapy to ensure accurate results and avoid altering the microorganisms present in the wound.
Choice C reason: Instructing visitors to perform hand hygiene for 15 seconds after leaving the client's room is not an appropriate action. The nurse should instruct visitors to perform hand hygiene for at least 20 seconds before and after entering the client's room to reduce the risk of transmitting infection.
Choice D reason: Placing the client in a private room with a private bathroom is an appropriate action. The nurse should implement contact precautions for a client who has an infectious wound with foul-smelling drainage to prevent cross-contamination and protect other clients and staff from exposure.
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