Author Question: The client with right-sided pleural effusion by chest x-ray is being prepared for a thoracentesis. ... (Read 111 times)

armygirl · **on:** Jul 22, 2018

The client with right-sided pleural effusion by chest x-ray is being prepared for a thoracentesis. The nurse assists the client to which of the following positions for the procedure?

1. Sims position, with the head of the bed flat
2. Left side-lying position, with the head of the bed elevated 45 degrees
3. Prone, with the head turned to the side supported by a pillow
4. Right side-lying position, with the head of the bed elevated 45 degrees

Question 2

The client has a prescription for administering an enema. After preparing the equipment and solution, the nurse assists the client into which of the following positions?

1. Left-sided lateral Sims position
2. Right-sided lateral Sims position
3. Left side-lying, with the head of the bed elevated 45 degrees
4. Right side-lying, with the head of the bed elevated 45 degrees

welcom1000 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2

Rationale: To facilitate removal of fluid from the chest wall, two positions may be used. The client may be positioned sitting on the edge of the bed, leaning over the bedside table, with his or her feet supported on a stool. The other position is lying in bed on the unaffected side, with the head of the bed elevated 45 degrees (Fowler's position). The other options are incorrect because they do not facilitate drainage of fluid to an area easily removed with thoracentesis.

Answer to Question 2

1

Rationale: When administering an enema, the client is placed in a left-sided Sims position so that the enema solution can flow by gravity in the natural direction of the colon. The client is lying on his or her side, with the body turned approximately 45 degrees. The lower leg is extended, with the upper leg flexed at the hip and knee to a 45- to 90-degree angle. Right-sided lateral Sims position, left side-lying, with the head of the bed elevated 45 degrees, and right side-lying, with the head of the bed elevated 45 degrees are incorrect.