Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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Simon, a client with a history of congestive heart failure, complains of shortness of breath. He cannot tolerate lying flat on the bed. Physical examination reveals accumulation of fluid in the left lung. Thoracentesis is ordered. The client must be placed in which of the following positions during the procedure?
  1. Semi-Fowler’s position.
  2. Position of comfort.
  3. Lying on the unaffected side; head of bed elevated to 45-degrees.
  4. Supine, with the right side of the upper abdomen exposed.
Explanation
Answer: C - The nurse should place the client in lateral position, lying on the unaffected side with the head of bed elevated to 45degrees. The client may also choose to sit on the edge of the bed and lean over the bedside table with the feet supported on a stool. The client is placed in position of comfort after the procedure. A client is placed in supine position with the right side of the upper abdomen exposed during a liver biopsy.
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