Answer to Question 1
Correct Answer: 2
Rationale 1: The prone position increases the volume of blood inside the thoracic cavity and compresses the chest, compromising the client's respirations.
Rationale 2: Persons in a semi-Fowler's position will better aid themselves and the nurse to assess their respiratory status.
Rationale 3: The side-lying position increases the volume of blood inside the thoracic cavity and compresses the chest, compromising the client's respirations.
Rationale 4: The supine position increases the volume of blood inside the thoracic cavity and compresses the chest, compromising the client's respirations.
Answer to Question 2
Correct Answer: 3
Rationale 1: If one nurse is having difficulty with the pulse and accuracy, getting another nurse is not going to be the best choice.
Rationale 2: Just documenting the findings does not address the problem of getting an accurate pulse reading.
Rationale 3: Obtaining a Doppler ultrasound stethoscope is the appropriate action to take. The Doppler will ensure accuracy by helping to exclude environmental sounds.
Rationale 4: Waiting until later may be harmful to the client, creating an unsafe environment.