A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea.

In which of the following positions should the nurse place the client?

High-Fowler's.

Side-lying.

Feet elevated.

Reverse Trendelenburg.

Answer and Explanation

The Correct Answer is C

The nurse should place the client in a position with their feet elevated.

This position helps to increase blood flow to the vital organs and can help improve the client’s blood pressure.
Choice A is not the answer because the Reverse Trendelenburg position does not help improve blood flow to vital organs.
Choice B is not the answer because the side-lying position does not help improve blood flow to vital organs.
Choice D is not the answer because High-Fowler’s position does not help improve blood flow to vital organs.

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Correct Answer is C

Explanation

Colonics, also known as colonic irrigation or colon hydrotherapy, involves flushing the colon with fluids to remove waste and is not recommended for individuals with diverticulitis.
Choice A is wrong because acupuncture is not a contraindication for a client with diverticulitis.
Choice B is wrong because saw palmetto is not a contraindication for a client with diverticulitis.
Choice D is wrong because guided imagery is not a contraindication for a client with diverticulitis.

A. Motor responses. B. Blood glucose. C. Urinary output. D. Blood pressure.

Correct Answer is D

Explanation

A change in behavior such as agitation and restlessness in a client with a traumatic brain injury can be a sign of increased intracranial pressure.
The nurse should first assess the client’s blood pressure as an increase in blood pressure can be an indicator of increased intracranial pressure.
Motor responses are not the first assessment that should be performed.
Blood glucose is not the first assessment that should be performed.
Urinary output is not the first assessment that should be performed.

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A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client?

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A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea.

In which of the following positions should the nurse place the client?