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A recommended position for a patient in acute pulmonary edema is:

Recovery position, lateral with the upper leg ﬂexed and forward, and the upper hand across the chest with the back of the hand supporting the cheek.

Prone position, to encourage maximum rest, thus decreasing respiratory and cardiac rates.

Sitting up position (45 degrees or greater) to facilitate breathing and decrease venous return.

Trendelenburg position, to drain blood from leg veins into the heart, i.e., the organic ﬂuid bolus.

Answer and Explanation

The Correct Answer is C

Choice A reason: The recovery position is not typically recommended for patients with acute pulmonary edema as it does not facilitate optimal breathing.

Choice B reason: The prone position is not generally recommended for acute pulmonary edema as it may not aid in improving oxygenation or breathing.

Choice C reason: The sitting up position, especially at an angle of 45 degrees or greater, is recommended for patients with acute pulmonary edema as it helps to facilitate breathing and decrease venous return to the heart.

Choice D reason: The Trendelenburg position is not recommended for acute pulmonary edema as it can increase the pressure in the chest and worsen breathing difficulties.

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Correct Answer is D

Explanation

Choice A reason: Aspirin can irritate the stomach lining and increase acid reﬂux, worsening GERD symptoms. It is generally not recommended without consulting a healthcare provider.
Choice B reason : Mercury content in seafood is not directly linked to GERD. This statement is misleading and does not address known risk factors for GERD.
Choice C reason : Lying down after eating can indeed increase the onset of GERD as it allows stomach contents to ﬂow back into the esophagus more easily.
Choice D reason : Alcohol and caﬀeine can relax the lower esophageal sphincter, allowing stomach acid to rise into the esophagus and worsen GERD symptoms. Therefore, it is advisable to avoid or reduce their intake.

A. Nephrotoxicity B. Acute tubular necrosis C. Hypovolemia D. Acute Glomerulonephritis

Correct Answer is C

Explanation

Choice A reason: Nephrotoxicity causes intrinsic renal failure due to direct damage to the renal parenchyma, not pre-renal failure.

Choice B reason: Acute tubular necrosis is a type of intrinsic renal failure resulting from damage to the renal tubules, not pre-renal failure.

Choice C reason: Hypovolemia is a common cause of pre-renal failure due to decreased blood ﬂow to the kidneys, leading to reduced urine output.

Choice D reason: Acute Glomerulonephritis is an intrinsic renal condition that aﬀects the glomeruli, not a pre-renal cause.

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A recommended position for a patient in acute pulmonary edema is:

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Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the risk factors for GERD (gastroesophageal reﬂux disease). Which of the following statements should the nurse include?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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