When preparing to move a patient in bed, the nurse should: a. ...

[CBme]

When preparing to move a patient in bed, the nurse should:
 
  a. expect that the patient's comfort level will decrease.
  b. make sure that all pillows used in the previous position stay in position.
  c. raise the bed to a comfortable working height.
  d. plan on moving the patient herself because other nurses are busy.

Question 2

During a warm sitz bath, the client experiences systemic vasodilation. The nurse determined this by the client's demonstration of:
 
  A. Lightheadedness
  B. Increased blood pressure
  C. Increased local discomfort
  D. Redness and irritation at the wound site

[vickybb89]

Answer to Question 1

C
Raise the level of the bed to a comfortable working height. This raises the level of work toward the nurse's center of gravity and reduces the risk for back injury. Proper positioning reduces stress on the joints. The patient's comfort level should increase. The nurse should remove all pillows and devices used in the previous position. This reduces interference from bedding during the positioning procedure. The nurse should get extra help as needed. This provides for patient and nurse safety.

Answer to Question 2

A
A. Assess vital signs if client complains of dizziness or lightheadedness to determine if vascular response to vasodilation has occurred.
B. Vasodilation causes a drop in blood pressure.
C. Increased local discomfort is a local reaction, not a result of systemic vasodilation.
D. Redness and irritation at the wound site is a local reaction, not systemic vasodilation.

[CBme]

TYSM

[Liddy]

Excellent