Practice Quiz

NCLEX-RN

Category - Basic Care

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Which of the following actions by the nurse promotes client safety?
  1. Placing a post-thyroidectomy client on a supine position
  2. Placing a post-cardiac catheterization client with the head of the bed elevated at 45 degrees, and the affected leg kept straight
  3. Positioning a client who had a water-based myelogram with the head of the bed elevated 30 to 60 degrees for 12 hours.
  4. Positioning a client who had oil-based myelogram with the head of bed elevated 30 to 60 degrees for 12 hours.
Explanation
Answer: C - The client who had a water-based myelogram is maintained in a semi-Fowler’s position for 12 hours to keep the dye from irritating the brain tissues. If an oil-based dye was used, the client needs to be in supine position. A post-thyroidectomy client must be positioned in semi-Fowler’s position, whereas the head of the bed of a post-cardiac catheterization client must not be elevated for more than 30 degrees.
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