A nurse is caring for a client who has a closed head injury. In which of the following positions should the nurse place the client?

Sims

Modified Trendelenburg

Semi-Fowler's

Prone

Answer and Explanation

The Correct Answer is C

Choice A: This is incorrect because Sims position is used for clients who have lower back pain, abdominal surgery, or enemas. It is not appropriate for clients who have a closed head injury.

Choice B: This is incorrect because modified Trendelenburg position is used for clients who have hypovolemic shock or poor venous return. It is not appropriate for clients who have a closed head injury.

Choice C: This is correct because semi-Fowler's position is used for clients who have increased intracranial pressure, respiratory distress, or head trauma. It elevates the head and chest to reduce cerebral edema and facilitate breathing.

Choice D: This is incorrect because prone position is used for clients who have acute respiratory distress syndrome, spinal cord injury, or pressure ulcers. It is not appropriate for clients who have a closed head injury.

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Correct Answer is A

Explanation

Choice A reason: Wearing an N95 mask when in the client's room is an appropriate instruction, as it can protect the AP from inhaling airborne droplets that contain pertussis bacteria, which can cause a highly contagious respiratory infection.

Choice B reason: Wearing a gown when caring for the client is not necessary, as pertussis is not transmitted by contact with body fluids or surfaces.

Choice C reason: Wearing a simple face mask when caring for the client is not sufficient, as it does not filter out small particles that can carry pertussis bacteria and enter the respiratory tract.

Choice D reason: Placing the client in a negative air pressure room is not indicated, as pertussis is not classified as an airborne infection that requires isolation in a specially ventilated room.

A. Potassium 4.0 mEq/L B. Brain natriuretic peptide 275 pg/mL C. Sodium 140 mEq/L D. Calcium 9.0 mg/dL

Correct Answer is B

Explanation

Choice A: This is incorrect. Potassium 4.0 mEq/L is a normal value and does not indicate heart failure.

Choice B: This is correct. Brain natriuretic peptide (BNP) is a hormone that is released by the heart when it is stretched or overloaded. A high level of BNP indicates that the heart is working harder than normal and may have heart failure. A normal BNP level is less than 100 pg/mL, so 275 pg/mL is elevated and suggestive of heart failure.

Choice C: This is incorrect. Sodium 140 mEq/L is a normal value and does not indicate heart failure.

Choice D: This is incorrect. Calcium 9.0 mg/dL is a normal value and does not indicate heart failure.

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A nurse is caring for a client who has a closed head injury. In which of the following positions should the nurse place the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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