A client in her third trimester reports sleeping poorly: sleeping on her back results in lightheadedness and dizziness and lying on her side results in no sleep.
Which suggestion for sleeping should the nurse prioritize for this client?
with a pillow under her right hip.
Without a pillow.
With a pillow under her shoulders.
with a pillow under both hips.
The Correct Answer is A
This is a variation of the side-lying position, which is recommended for pregnant women in the third trimester to improve blood flow to the uterus and the baby12.
Sleeping on the right side with a pillow under the hip can also help relieve pressure on the inferior vena cava, a large vein that carries blood from the lower body to the heart.
Sleeping on the back can cause lightheadedness and dizziness because of this pressure, as well as increase the risk of stillbirth1.
Choice B.
Without a pillow is incorrect, as this can make sleeping on the side uncomfortable and cause back pain or leg cramps.
Choice C.
with a pillow under her shoulders is incorrect, as this can elevate the upper body and worsen heartburn, a common problem in pregnancy.
Choice D.
with a pillow under both hips is incorrect, as this can make sleeping on the back more likely, which is not advised for pregnant women in the third trimester1.
Therefore, choice A is the best answer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should assist the client to shift position every 4 hours to prevent complications such as pressure ulcers and pneumonia.
Choice A is incorrect because the weights on the traction should be freely hanging and not touching any part of the bed.
Choice B is incorrect because isometric exercises may not be appropriate for a client with a femur fracture and should be prescribed by a healthcare provider.
Choice C is incorrect because administering pain medication before performing pin care may not be necessary and should be based on the client’s level of pain and the healthcare provider’s orders.
Correct Answer is A
Explanation
Staphylococcus aureus is the most common cause of acute osteomyelitis.
Osteomyelitis is an infection of the bone that can be caused by a variety of microorganisms, including bacteria, fungi, and mycobacteria.
Staphylococcus aureus is present in more than 50% of patients with osteomyelitis that results from contiguous spread from adjacent infected tissue or open wounds.
Choice B is not an answer because Pseudomonas aeruginosa is a less common cause of osteomyelitis and is more commonly seen in injection drug users.
Choice C is not an answer because Streptococcus B is not a common cause of osteomyelitis.
Choice D is not an answer because Escherichia coli is not a common cause of osteomyelitis.
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