The nurse is caring for a client in the recovery area. Which ...

[mspears3]

The nurse is caring for a client in the recovery area. Which position should the unconscious client be placed while in the immediate postanesthesia phase?
 
  1. Supine
  2. Prone
  3. Side-lying
  4. Supine with a pillow under the head

Question 2

The nurse is caring for a client on the postoperative unit. Which nursing diagnosis is the priority for this client?
 
  1. Self-Care Deficit
  2. Disturbed Body Image
  3. Ineffective Airway Clearance
  4. Risk for Falls

[Fayaz00962]

Answer to Question 1

Correct Answer: 3
Rationale 1: In the supine position, the client could occlude the airway.
Rationale 2: In the prone position, the client's operative site may not be readily assessed.
Rationale 3: The unconscious client should be positioned on the side, with the face slightly down.
Rationale 4: A pillow under the head could cause the client's airway to become obstructed.

Answer to Question 2

Correct Answer: 3
Rationale 1: After surgery, a client may have a Self-Care Deficit however this is not the priority.
Rationale 2: Depending upon the type of surgery, the client may have Disturbed Body Image however this is not the priority.
Rationale 3: When prioritizing, the nurse should remember the ABCs. Airway should always be the priority.
Rationale 4: A client recovering from surgery may be at Risk for Falls however this is not a priority.

[mspears3]

TY

[Fayaz00962]

You're welcome