A nurse is performing postural drainage for a client. Which of the following is an appropriate intervention?

Position the client for secretion drainage by gravity.

Schedule postural drainage following meals.

Give the client a bronchodilator immediately after the procedure.

Instruct the client regarding the importance of fluid restrictions.

Answer and Explanation

The Correct Answer is A

A.   Positioning the client for secretion drainage by gravity is a key component of postural drainage to facilitate the removal of respiratory secretions.
B.   Postural drainage is typically done before meals to avoid potential nausea during the procedure.
C.   Bronchodilators are often administered before postural drainage to open the airways and improve the effectiveness of the procedure.
D.   Encouraging fluid intake is important to help thin respiratory secretions and promote their removal during postural drainage. Fluid restrictions are not typically indicated in this context.

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Correct Answer is C

Explanation

A. Raising the index finger is not a typical response for managing gagging during NG tube insertion.

B. Bearing down during insertion is not an appropriate instruction and may increase the risk of complications.
C. Instructing the client to say "stop" if a burning sensation is felt inside the nose allows for communication and prompt action to ensure the client's comfort and safety.
D. Inhaling forcefully during insertion is not a recommended action and may interfere with the procedure.

A. Choose a vein that is soft on palpation. B. Select a vein in the client's dominant arm. C. Select a site distal to previous venipuncture attempts. D. Choose the most proximal vein in the extremity.

Correct Answer is C

Explanation

A. Choosing a vein that is soft on palpation may indicate it's not suitable for IV insertion. A vein with a slight bounce or resilience is preferable.
B. Selecting a vein in the client's dominant arm is not a primary consideration. Both arms are

usually suitable, and the choice depends on factors such as accessibility and patient preference.

C. Selecting a site distal to previous venipuncture attempts reduces the risk of complications such as infiltration or infection and allows for optimal vein preservation.
D. Choosing the most proximal vein in the extremity is not typically recommended for peripheral IV insertion. Veins more distal to the body are often preferred for initial attempts, with
consideration for vein integrity and accessibility.

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A nurse is performing postural drainage for a client. Which of the following is an appropriate intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to insert an NG tube for a client who requires enteral feedings. Which of the following instructions should the nurse give the client before beginning the procedure?

Correct Answer is C

Explanation

A nurse is caring for a client who requires a peripheral IV insertion. When choosing the site, which of the following is an appropriate action for the nurse to take?

Correct Answer is C

Explanation

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