The physician’s admitting orders indicate that the client is to be placed in a High Fowler’s position. Upon positioning this client, how much will the nurse elevate the head of the bed?
30 degrees.
15 to 20 degrees.
90 degrees.
45-60 degrees
The Correct Answer is C
A. 30 degrees:
This angle does not meet the criteria for a High Fowler's position, which requires a more upright position.
B. 15 to 20 degrees:
This angle is lower than what is generally considered as High Fowler's position. High Fowler's is a more upright position.
C. 90 degrees:
High Fowler's position involves elevating the head of the bed to 90 degrees. This position is often used for better lung expansion and respiratory function.
D. 45-60 degrees:
While this range is higher than a semi-Fowler's position, it is not as upright as the 90-degree elevation in a High Fowler's position.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Allow the patient to relax and then recheck the patient’s B/P in 5 minutes:
The initial elevated blood pressure reading could be influenced by the patient's anxiety about visiting the doctor. Allowing the patient to relax and rechecking the blood pressure after a few minutes may provide a more accurate reading.
B. Document the elevated blood pressure and notify the physician immediately:
It is premature to immediately notify the physician based on a single elevated blood pressure reading. Reassessing after the patient has had time to relax is a reasonable approach before taking further action.
C. Begin education related to hypertension (high blood pressure):
While patient education is important, addressing the patient's anxiety and obtaining accurate blood pressure readings should be the initial focus.
D. Schedule the patient for follow-up visits for measurement and monitoring of the patient’s blood pressure:
Scheduling follow-up visits may be necessary based on subsequent assessments, but the immediate concern is to recheck the blood pressure after allowing the patient to relax.
Correct Answer is D
Explanation
A. Wash the client’s face:
While washing the client's face might be part of general care, when specifically providing oral care for a client with dentures, the first step should be to don gloves to ensure infection control and safety.
B. Remove dentures:
Removing dentures may be a step in the oral care process, but it should come after donning gloves to maintain proper infection control measures.
C. Apply lubricant:
Applying lubricant might be necessary, especially if the client experiences dryness or discomfort, but it should follow the step of donning gloves.
D. Don gloves:
This is the first action because it is crucial to wear gloves before handling a client's dentures or engaging in any oral care procedures. Gloves protect both the nurse and the client from potential infections and ensure proper hygiene during care.
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