positioning questions

8/16/2019 Positioning Questions

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POSITIONING POST TEST

-With rationale-

1. A nurse assists a physician in performing a liver biopsy. After the biopsy, thenurse plans to place the client in which of the following positions?

a. Supine b. Pronec. Left-side lying position with a small pillow or folded towel under the puncture site

d. Right side lying position with a small pillow or folded towel under thepuncture site

2. A nurse is administering a cleansing enema to the client with fecal impaction.Before administering the enema, the nurse places the client in which of thefollowing position?

a. On the left side of the body, with the head of the bed elevated 45 degreesb. On the right side of the body, with the head of the bed elevated 45 degreesc. Left im!s positiond. ight Sim!s position

". A client is being prepared for a thoracentesis. A nurse assists the client towhich of the following positions for the procedure?

a. Lying in bed on the a"ected side, with the head of the bed elevated for 45

degreesb. Lying in bed on the una#ected side, with the head of the bed elevatedfor $% degreesc. Prone with the head turned to the side and supported by pillowd. Sim!s position with the head of the bed #at

$. A nurse is preparing to care for a client who has had a supratentorialcraniotomy. &he nurse plans to place the client in which position?

a. Prone b. Supine c. emi'(owler!s d. $orsal recumbent %. &he best position for tonsillectomy is) a. high fowlers b. semi fowlers c. right side lying d. prone

*. A client has +ust returned to a nursing unit after an above'nee'amputation of the right leg. A nurse places the client in which of the following mostappropriate positions?

a. Supine with the stump #at on the bedb. upine with the stump elevated c. everse %rendelenberg d. Prone

-. A nurse is caring for a client with a severe burn. &he client is scheduled for anautograft to be placed on the lower etremity. &he nurse develops a post'operative plan of care for the client and includes which of the following in theplan?

a. &aintain surgical e'tremity in a #at positionb. (eeps surgical e'tremity covered with a blan)etc. &aintain the client in a prone positiond. /levate and immobili0e the grafted etremity

. A nurse is preparing to care for a client who has returned to the nursing unitfollowing cardiac catheteri0ation performed through the femoral artery. &henurse plans to ensure which most appropriate client positionactivity followingthe procedure?

a. *ed rest with head elevation at + degreesb. Bed rest with head elevation no greater than "3 degreesc. *ed rest with bathroom privileges onlyd. *ed rest in high owler!s position

4. A nurse is providing instructions to a client and the family regarding homecare after right eye cataract removal. 5hich statement, if made by the client,would indicate e#ective teaching?

a. 67 will not sleep on my right side.8b. / will not sleep on my left side.0c. / will not sleep with my head elevated.0d. / will not wear my glasses until my physician says it!s O(.0

13. &he nurse assists a physician with the insertion of a 9arris tube in a clientwith a bowel obstruction. (ollowing insertion of the tube, the nurse assists theclient to which of the following positions initially?

a. Prone b. Supine with the head #at c. Right side d. Sim!s

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ationale1 %his position will facilitate the mercury at the tip of the tube to pass through thepylorus of the stomach and into the small intestine for the purpose of removing intestinalcontents or decompressing the bowel.

11. :lient is diagnosed with deep'vein thrombophlebitis. &he nurse develops aplan of care for the client and includes which client positionactivity in the plan?

2. *ed rest with the a"ected e'tremity in a dependent positionb. Out of bed activities as desiredc. *ed rest with the a"ected e'tremity )ept #atd. Bed rest with elevation of the a#ected etremity

12. A nurse is preparing to care for a client who has had a supratentorialcraniotomy. &he nurse plans to place the client in which position?

a. Prone b. Supine c. emi'(owler!s d. $orsal recumbent

1". A nurse assists a physician with insertion of a ;iller'Abbott tube. Afterinsertion of the tube, the nurse would assist the client to which of the followingpositions?

a.


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d. lat on bed with pillow at the bac) of the )neeationale1 2. Legs should be elevated to prevent venous blood stasis and pooling.

23.5hich of the following would a nurse implement in a client with epistais?a. 2ssisting to a prone position with nose pac)b. =lacing in a sitting position and leaning forwardc. Side-lying position with head elevated in a pillowd. levating the head in a supine positionationale1 Leaning forward will prevent bac)#ow of blood that could lead to possibleaspiration.

21.A client with no history of pulmonary edema has a sudden onset of dyspnea,chest pain, and tachycardia. A pulmonary embolism is suspected. &he nurseanticipates to place the client in what position?

a. igh 6owler!sb. Leaning forwardc. Supined. emi'(owler!sationale1 $. Semi-owler!s position is most appropriate because high-fowler!s positioncreates e'treme #e'ion of the hips and slows venous return from the legs, which increasesthe ris) of new thrombi.

22.&he nurse should include which of the following postoperative plan in a clientwho is scheduled to have removal of her thyroid gland?

a. &aintaining a strict bed rest with head #at on bedb. Placing in a prone position with head immobili3ed by pillowc. =ositioning in semi'(owler!s with the head supported by pillowd. re7uent turning to side-lying position every 8 hours

2".A client undergoes myelography using water' soluble contrast. (ollowing theprocedure the nurse should place the client in what position?

a. lat on bed without any pillowb. /levate head of bed to "33

c. ise foot of bed to 95

d. Sitting with head supported

2$.A client has +ust returned to the recovery room after an infratentorial surgery.5hich of the following strategies will the nurse incorporate to avoiddevelopment of possible complication?

a. ;aintaining the client @at in bedb. epositioning the client side to sidec. Placing the client head elevated 45

d. /nstituting a modi:ed trendelenburg position

2%.An infant has +ust returned to the nursing unit following a surgical repair of acleft lip located on the right side of the lip. &he nurse places the infant inwhich most appropriate position?

a.


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2.A %'year'old child is diagnosed with right lower lobe pneumonia. 7n whichposition should the child be placed to maimi0e oygenation?

a. igh owler!sb. Supinec. ight side lyingd. Left side lyingationale1 $. %he left side lying position is optimal for ma'imum gas e'change, as itincreases blood #ow to the lungs.

24.7n planning care for a client with increased intracranial pressure, which stepswould the nurse tae?

a. (eep the head of bed #at, and not use a pillow for head support.

b. /levate the head of the bed for "33'$%3, and eep the client!s head in neutralposition.

c. levate the head of bed se constrictive clothing to decrease the swellingd. ncourage decreased ambulation until the swelling decreasesationale1 levation of the e'tremities above the level of the heart in a patient with venouscongestion can promote venous return to the heart by gravity and decrease venouscongestion.

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"%. A nurse is assisting a physician in performing colonoscopy. 7n which positionwill the nurse place the patient?a. Left side lying with nees drawn up to the chest b. ight side lying with )nees drawn up to the chestc. Prone with )nees on chestd. Prone at the edge of the tableationale1 2. ?olonoscopy involves a :ber optic visuali3ation in the lining of the largeintestine. Placing the patient in left side lying provides an easy passage of the :ber optic asit follows the contour of the large intestine. $rawing )nees to the chest e'poses the anusfor easy visuali3ation.

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