Answer to Question 1
Correct Answer: 2
Rationale 1: High Fowler's position should not be used with more than one pillow or with overly large pillows.
Rationale 2: The orthopneic position across the overbed table facilitates respiration by allowing maximum chest expansion.
Rationale 3: The prone position places the client on the abdomen and makes chest expansion difficult.
Rationale 4: Sims position is a side-lying position and does not support full chest expansion as much as the orthopneic position.
Answer to Question 2
Correct Answer: 4
Rationale 1: Placing the feet together makes the body more unstable and more likely to fall.
Rationale 2: In order to pick up this box as safely as possible, the nurse should flex the knees to lower the center of gravity.
Rationale 3: After picking up the weight, the body should not be rotated, but should be turned to face the table.
Rationale 4: In order to pick up this box as safely as possible, the nurse should hold the box as close to the body as possible.
Rationale 5: The nurse should squat to pick up the box and should lift smoothly with no jerking motions.
Nurse-patient interaction; nonveral communication
The supine position.
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Graduating High School
Testing client’s ability to identify sharp sensations