A nurse is instructing a client about postural drainage. The nurse should have the client lie with his head lower than his feet to mobilize secretions and understands this position to be which of the following?

Supine

Trendelenburg

Fowler's

Sims'

Answer and Explanation

The Correct Answer is B

A. Supine: The client lies flat on their back with no tilt. This position does not help mobilize secretions from the lower lungs.
B. Trendelenburg: In this position, the head is lower than the feet, using gravity to help drain secretions from the lower lobes of the lungs.
C. Fowler's: The client is in a semi-sitting position (head elevated). This is used for breathing ease but not effective for postural drainage.
D. Sims': This is a semi-prone position used for enema administration or rectal examinations, not for mobilizing lung secretions.

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Correct Answer is B

Explanation

A. Muscle mass: Passive ROM does not build muscle mass because the muscles are not actively used.
B. Joint flexibility: Passive ROM helps maintain or improve joint flexibility, prevent contractures, and reduce stiffness.
C. Muscle strength: Muscle strength increases with active, not passive, exercises.
D. Bone density: Bone density is improved through weight-bearing and resistance exercises, not passive motion.

A. "I'll put a heating pad on my ankle at bedtime tonight." B. "I'll walk on my ankle for 10 minutes every hour." C. "I'll rewrap my ankle starting from the knee down." D. "I'll apply ice to my ankle for 20 minutes every hour."

Correct Answer is D

Explanation

A. "I'll put a heating pad on my ankle at bedtime tonight.": Heat is contraindicated in the first 24–48 hours of a sprain due to increased risk of swelling and bleeding.
B. "I'll walk on my ankle for 10 minutes every hour.": Weight-bearing should be minimized in the acute phase of a sprain.
C. "I'll rewrap my ankle starting from the knee down.": Wrapping should begin at the toes and go upward to promote venous return.
D. "I'll apply ice to my ankle for 20 minutes every hour.": Ice therapy helps reduce swelling and pain and should be applied 20 minutes at a time, typically every 1 to 2 hours during the first 24–48 hours.

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A nurse is instructing a client about postural drainage. The nurse should have the client lie with his head lower than his feet to mobilize secretions and understands this position to be which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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