A nurse is instructing a client about postural drainage. The nurse should have the client lie with his head lower than his feet to mobilize secretions and understands this position to be which of the following?

Supine

Trendelenburg

Fowler's

Sims'

Answer and Explanation

The Correct Answer is B

A. Supine: The client lies flat on their back with no tilt. This position does not help mobilize secretions from the lower lungs.
B. Trendelenburg: In this position, the head is lower than the feet, using gravity to help drain secretions from the lower lobes of the lungs.
C. Fowler's: The client is in a semi-sitting position (head elevated). This is used for breathing ease but not effective for postural drainage.
D. Sims': This is a semi-prone position used for enema administration or rectal examinations, not for mobilizing lung secretions.

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Correct Answer is C

Explanation

A. Alias: Aliases are not unique or legally sufficient for client identification.
B. Medical condition: This is not a unique or secure way to identify a client.
C. Telephone number: Per The Joint Commission guidelines, acceptable client identifiers include full name, birthdate, and a unique identifier such as telephone number or medical record number.
D. Room number: Room numbers are not unique and can change during a hospital stay.

A. "The grip should be level with the client's waist." B. "The client should hold the cane on the weak side of his body." C. "When the client moves, he should move the cane forward first." D. "The client should first move the strong leg, then the weak one."

Correct Answer is C

Explanation

A. "The grip should be level with the client's waist.": The cane’s handgrip should be at wrist level when the client’s arm is relaxed.
B. "The client should hold the cane on the weak side of his body.": The cane should be held on the stronger side to support the weaker leg.
C. "When the client moves, he should move the cane forward first.": This allows the cane to support the weight when the weaker leg is advanced.
D. "The client should first move the strong leg, then the weak one.": The weaker leg should move first with the cane, followed by the stronger leg.

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A nurse is instructing a client about postural drainage. The nurse should have the client lie with his head lower than his feet to mobilize secretions and understands this position to be which of the following?

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