Brian, 22, has a right-sided closed head injury and is unconscious. Which position would be best for him?

Flat with a small pillow under the head

Head of the bed elevated 20 to 30 degrees

Right lateral decubitus position

Supine, with the head turned to the left.

Answer and Explanation

The Correct Answer is B

A.   This position can lead to increased intracranial pressure (ICP) and is not recommended for patients with head injuries.
B.   Elevating the head of the bed helps promote venous drainage from the brain, reducing intracranial pressure.
C.   This position is not typically used for patients with head injuries, as it may not provide optimal cerebral perfusion.
D.   This position can compromise venous drainage from the brain and is not recommended for patients with head injuries.

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Correct Answer is C

Explanation

A. Multiple rib fractures are unlikely to enhance gas diffusion; instead, they can impair ventilation by reducing the ability of the chest wall to expand.
B. Multiple rib fractures can indeed increase the workload of the diaphragm as it tries to compensate for the decreased ability of the chest wall to expand during breathing.

C. Multiple rib fractures can restrict chest wall movement, leading to compromised ventilation efficiency.
D. Multiple rib fractures wouldn't directly improve pulmonary blood supply; they can lead to pain and impaired lung function.

A. To assess the size and shape of the testicles B. To detect any hernias in the inguinal ring and canal C. To check for the presence of any lumps in the scrotum D. To evaluate the character and distribution of pubic hair

Correct Answer is B

Explanation

A. Assessing the size and shape of the testicles can be part of a genital examination but is not the primary reason for asking David to bear down.
B. Asking David to bear down increases intra-abdominal pressure, making it easier to detect hernias in the inguinal ring and canal.
C. Checking for the presence of lumps in the scrotum may be part of the examination but is not the primary reason for asking David to bear down.
D. Evaluating the character and distribution of pubic hair is not related to detecting hernias and is not the primary reason for asking David to bear down.

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Brian, 22, has a right-sided closed head injury and is unconscious. Which position would be best for him?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

George, a 15-year-old man, is brought to the ESL with multiple rib fractures following a motor vehicle accident. How could this injury affect his respiratory system?

Correct Answer is C

Explanation

David, a 30-year-old man, is examined for potential hernias. The healthcare provider asks him to bear down during the examination. What is the primary reason for this instruction?

Correct Answer is B

Explanation

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