Which position should the nurse use for a patient who is immobile to promote lung expansion and prevent respiratory complications?
Supine position with the head of the bed elevated.
Prone position with the head turned to the side.
Lateral position with the affected side down.
Semi-Fowler's position with the knees slightly flexed.
The Correct Answer is D
The semi-Fowler's position with the knees slightly flexed promotes lung expansion by allowing the diaphragm to descend fully and reducing the risk of respiratory complications in immobile patients.
Incorrect choices:
a. The supine position with the head of the bed elevated may cause the diaphragm to be restricted, limiting lung expansion and potentially leading to respiratory complications.
b. The prone position is not suitable for immobile patients and may increase the risk of pressure ulcers and respiratory difficulties.
c. The lateral position with the affected side down may compromise lung expansion and increase the risk of respiratory complications in immobile patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Patients who undergo surgery are at an increased risk for developing deep vein thrombosis (DVT) due to the immobility associated with the postoperative period.
Incorrect choices:
a. While hypertension is a risk factor for cardiovascular diseases, it does not increase the risk of DVT specifically.
c. Regular exercise is a protective factor against DVT, as it promotes circulation and venous return.
d. Diabetes is a risk factor for peripheral vascular disease, but it does not directly increase the risk of DVT.
Correct Answer is A
Explanation
Offering fluids at room temperature can enhance the patient's comfort and promote adequate hydration in immobile patients.
Incorrect choices:
b. Limiting fluid intake to prevent incontinence is not appropriate as it can lead to dehydration. Adequate hydration should be maintained, and measures to manage incontinence should be implemented separately.
c. Providing a straw for easier drinking can facilitate fluid intake, but it may not be suitable for all patients or situations. Individualized assessment and patient preference should be considered.
d. Continuous intravenous fluids may not be necessary for all immobile patients and should be based on specific indications determined by the healthcare provider. Oral intake should be encouraged unless contraindicated.
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