The nurse is assigned to a 67-year-old comatose patient. To ...

[mcmcdaniel]

The nurse is assigned to a 67-year-old comatose patient. To minimize the risk for aspiration, the nurse should avoid placing the patient in what position?
 
  a. Semi-Fowler's
  b. Sims'
  c. Supine
  d. Lateral

Question 2

A postsurgical patient is being taught about wound care before being discharged from the hospital and is in a semiprivate room with another patient. The other patient is upset with a family member and is crying.
 
  The television is on to try to provide some distraction from the roommate. Which action should the nurse take to best facilitate patient education for wound care? a. Explain to the patient that everything is in the handout.
  b. Take the patient to a quiet area to do the patient teaching.
  c. Ask the roommate to please be considerate of the patient because patient education is occurring.
  d. Request that a home health nurse follow up with the patient at home to teach about wound care.

[todom5090]

Answer to Question 1

C
The risk for aspiration is greater in the supine position; thus avoid this position when the patient is confused, agitated, experiencing a decreased level of consciousness, or is at risk for aspiration. Semi-Fowler's is an incorrect answer because that is the position of choice to prevent aspiration. Sims' is incorrect because it is a semi-prone position that would allow the stomach contents to exit the body if the patient experienced emesis. Lateral is incorrect because the patient would be placed on his or her side, which would promote the exit of stomach contents if the patient expe-riences emesis.

Answer to Question 2

B
A quiet area is needed for learning. Before learning anything, patients must be able to pay atten-tion to or concentrate on the information they will learn. Physical discomfort, anxiety, and envi-ronmental distractions make it more difficult for a patient to concentrate. It is not appropriate to refer the patient to a handout. Asking the roommate to be considerate is inappropriate because the roommate is distraught. Home health nursing is not needed at this time.

[mcmcdaniel]

Thank you!

[todom5090]

Always glad to help...