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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Hyperkalemia is a common electrolyte imbalance in prerenal AKI due to decreased kidney function and the inability to excrete potassium.
Choice B reason: Hypernatremia is not typically expected in prerenal AKI unless there is an associated condition causing increased sodium retention.
Choice C reason: Hypercalcemia is not commonly associated with prerenal AKI.
Choice D reason: Hypophosphatemia is less likely in prerenal AKI; hyperphosphatemia is more common due to decreased filtration of phosphate.
Correct Answer is C
Explanation
Choice A reason: Right arm muscle spasms may be uncomfortable but are not as critical as circulatory issues.
Choice B reason: A temperature of 99.9°F (37.7°C) is slightly elevated but not immediately alarming post-surgery.
Choice C reason: Loss of the right radial pulse could indicate a serious complication such as compartment syndrome, which requires urgent atention.
Choice D reason: Pain with arm movement is expected post-surgery but is not as urgent as loss of pulse.
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