The nurse receives orders for postural drainage using ...

[jace]

The nurse receives orders for postural drainage using Trendelenburg's position. On which patients should the nurse question the order? (Select all that apply.)
 
  a. Patient with a history of gastroesophageal reflux disease (GERD)
  b. Postsurgical patient with a distended abdomen
  c. Patient with blood pressure of 180/100
  d. Patient with bronchiectasis on chest x-ray

Question 2

Upon arriving at a mass causality scene, health care providers using the SALT approach will initiate triage by doing which of the following first?
 
  a. Assess
  b. Move
  c. Sort
  d. Send

[pami445]

Answer to Question 1

A, B, C
Trendelenburg's position is contraindicated for uncontrolled hypertension, distended abdomen, esophageal surgery, recent gross hemoptysis, and uncontrolled airway at risk for aspiration. When patients have a risk for or history of GERD, the head-down position should not be used.
Bronchiectasis is an indication for postural drainage.

Answer to Question 2

C
In the SALT process, the first step is to sort the affected individuals in to groups so that they may be assessed individually. Category 1 includes those who are not moving and have life-threatening injuries. Category 2 includes those who are able to wave or have purposeful movement. Category 3 consists of those able to walk on their own.