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 D

Explanation

The client’s ABG results show a pH of 7.24, which is below the normal range of 7.35-7.45 and indicates acidosis.
The PaCO2 is within the normal range of 35-45 mm Hg, indicating that the acidosis is not caused by a respiratory issue.
The HCO3 level is 18 mEq/L, which is below the normal range of 22-28 mEq/L and indicates a primary metabolic cause for acidosis.
Respiratory acidosis is not indicated by the ABG results as the PaCO2 is within the normal range.
B) Metabolic alkalosis is not indicated by the ABG results as the pH and HCO3 levels are below their respective normal ranges.
C) Respiratory alkalosis is not indicated by the ABG results as the pH is below the normal range and the PaCO2 is within the normal range.

A. A client who has chronic obstructive pulmonary disease and an oxygen saturation of 89%. B. A client who has thrombocytopenia and reports a nosebleed. C. A client who has left-sided paralysis and slurred speech from a prior stroke. D. A client who has multiple sclerosis and reports ataxia and vertigo.

Correct Answer is B

Explanation

The nurse should attend to the client who has thrombocytopenia and reports a nosebleed first.

Thrombocytopenia is a condition characterized by low platelet count, which increases the risk of bleeding.
A nosebleed can be a sign of significant bleeding, and it is important for the nurse to assess the severity and take appropriate action to stop the bleeding and prevent further complications.
Although the other clients also require nursing care, their conditions are not as urgent as the client with thrombocytopenia and a nosebleed.

The client with chronic obstructive pulmonary disease and an oxygen saturation of 89% may require oxygen therapy or other interventions to improve respiratory function, but the situation is not immediately life-threatening.
The client with left-sided paralysis and slurred speech from a prior stroke may require ongoing care and rehabilitation, but there is no indication of an acute change in their condition.
The client with multiple sclerosis and ataxia and vertigo may require assistance with mobility and balance, but their symptoms do not pose an immediate threat to their health.

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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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Correct Answer is D

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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?