A nurse is performing pulmonary hygiene for a client who has pneumonia and positions the client on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with the client in this position?
Lateral segment of the right lower lobe
Lateral segment of the left lower lobe
Posterior segment of the right middle lobe
Posterior segment of the right lower lobe
The Correct Answer is A
A. Lateral segment of the right lower lobe is the correct answer because placing the client on the left side in Trendelenburg position promotes drainage from the right lower lobe’s lateral segment by using gravity to mobilize secretions.
B. Lateral segment of the left lower lobe would require the client to be positioned on the right side rather than the left.
C. Posterior segment of the right middle lobe would require the client to be positioned in a different way, typically supine with a slight Trendelenburg tilt.
D. Posterior segment of the right lower lobe would require a prone position in Trendelenburg, not left-side lying.
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Related Questions
Correct Answer is B
Explanation
A. Engage in repetitive tasks, even when joints are inflamed, to keep the joints mobile is not recommended; rest and joint protection are important during inflammation.
B. Press water from a sponge rather than wringing it is a good strategy to avoid straining the joints.
C. Finish weekly household tasks within 1 or 2 days may lead to increased stress on the joints; tasks should be spread out to avoid exacerbating symptoms.
D. Turn doorknobs using a clockwise motion does not have specific benefits for managing rheumatoid arthritis; using adaptive devices is generally recommended.
Correct Answer is D
Explanation
A. Flex the client’s hip is incorrect. Flexing the hip can increase intra-abdominal pressure and potentially increase intracranial pressure.
B. Hyperextend the client’s neck is incorrect. Hyperextension of the neck can interfere with venous return from the brain and increase ICP.
C. Provide warming measures for the client is incorrect. Warming measures are not indicated for a low CPP; maintaining normothermia is important, but warming is not the priority action.
D. Adjust the client’s head of bed is correct. Elevating the head of the bed helps reduce ICP and improves cerebral perfusion by promoting venous outflow.
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