Which positioning strategy is most effective for promoting lung drainage in a patient with pneumonia?

Trendelenburg position

Prone position

Right lateral position

Supine position

Answer and Explanation

The Correct Answer is C

A. The Trendelenburg position (head lower than feet) is primarily used to promote venous return and for certain surgical or cardiac procedures, not for lung drainage.

B. Prone positioning can improve oxygenation in patients with acute respiratory distress syndrome (ARDS) but is not the standard strategy for targeted lung drainage in pneumonia.

C. Right lateral positioning is effective for promoting drainage of specific lung segments in patients with pneumonia. Positioning the affected lung uppermost allows gravity to aid in drainage of secretions and improves ventilation-perfusion in healthier lung areas.

D. Supine position (lying flat on the back) can impede lung drainage and may increase the risk of secretion accumulation in the posterior lung segments.

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Correct Answer is B

Explanation

A. Providing records only at discharge limits the client’s legal right to access their medical information at any time during their care.

B. Clients have the right to review their medical record according to HIPAA regulations. A written request ensures proper documentation and compliance with facility policy, making this the correct response.

C. Requiring the client to explain why they want to review their record is not necessary and may be viewed as a barrier to accessing their own health information.

D. Denying access is legally incorrect, as clients are entitled to view their health records, request corrections, and obtain copies.

A. Administer oral PRN pain medication to a client who has arthritis. B. Obtain a daily weight on a client who has heart failure. C. Reinforce teaching the use of an incentive spirometer to a postoperative client. D. Irrigate and perform a dressing change for a client who has a pressure injury wound.

Correct Answer is B

Explanation

A. Administering oral PRN pain medication is a licensed nursing task that requires assessment of the client’s pain, knowledge of contraindications, and monitoring for adverse effects; it cannot be delegated to APs.

B. Obtaining a daily weight is a routine, non-invasive task that does not require nursing judgment, making it appropriate to delegate to an assistive personnel (AP). Accurate daily weights are important for monitoring fluid status in clients with heart failure.

C. Reinforcing teaching on the use of an incentive spirometer involves nursing judgment and education, which cannot be delegated to APs.

D. Irrigating and performing a dressing change for a pressure injury requires nursing skill and assessment, so it is not appropriate to delegate to APs.

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Which positioning strategy is most effective for promoting lung drainage in a patient with pneumonia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

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