A nurse is caring for a client who has pneumonia.

Exhibits

C. Positioning the client on their side with the right side of the chest elevated helps to promote drainage of the left lower lobe by allowing gravity to assist in the movement of secretions toward the larger airways for expectoration or suctioning.
A. Prone positioning involves lying face down, which may not effectively target drainage of the left lower lobe. Additionally, placing pillows under the lower extremities may not be conducive to drainage of the affected lung segment.
C. The supine position (lying flat on the back) does not facilitate drainage of specific lung segments, and the low-Fowler's position (semi-reclined with the head of the bed raised slightly) may not provide optimal drainage for the left lower lobe.
D. Trendelenburg position involves lying flat on the back with the legs elevated higher than the head. While this position may help improve venous return and cardiac output in certain situations, it is not specifically indicated for postural drainage of the left lower lobe.

A. Syringe with a catheter is not typically used for wound irrigation. A syringe is often used alone, typically with a sterile tip to apply pressure when irrigating the wound, which helps remove debris, bacteria, and dead tissue. However, a catheter is not typically involved in the process unless specifically required for certain types of drainage or if a very specialized approach is needed.
B. Refrigerating the solution before irrigation is not typically necessary for wound irrigation. While some solutions may be stored in the refrigerator for preservation, they should be brought to room temperature before use to prevent discomfort to the client and to avoid potential thermal injury to the wound.
C. Using one pair of gloves for dressing removal and irrigation is not recommended as it can lead to contamination of the irrigation solution and increase the risk of infection. Standard precautions dictate that gloves should be changed after performing wound debridement or dressing removal to prevent cross-contamination.
D. This is an appropriate action for the nurse to take because wound irrigation, especially for painful conditions like pressure injuries, can cause discomfort. Administering an analgesic before starting the procedure helps ensure that the client is comfortable and that pain is minimized during the process.