Author Question: The nurse delegates bed making to the unlicensed assistive personnel (UAP). Which client's bed ... (Read 102 times)

vicotolentino · **on:** Jun 25, 2018

The nurse delegates bed making to the unlicensed assistive personnel (UAP). Which client's bed should be made by the nurse and not the UAP?

1. The postoperative client diagnosed with dementia on complete bed rest
2. The client who is diagnosed with myocardial infarction who has bathroom privileges
3. The client with increased intracranial pressure on complete bed rest
4. The postoperative client

Question 2

The nurse is caring for a client in shock, and places the bed at an angle with the head lower than the feet. Which term will the nurse use when documenting this position in the medical record?

1. Reverse Trendelenburg position
2. Trendelenburg position
3. Fowler's position
4. Semi-Fowler's position

Sammyo · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3

The client with increased intracranial pressure will generally have an increase in pressure with any activity or movement, so the nurse should change this client's bed, although the unlicensed assistive personnel could assist the nurse. The other clients' beds could be safely delegated to the unlicensed assistive personnel.

Answer to Question 2

Correct Answer: 2

The Trendelenburg position is used to place the head lower than the feet to improve blood flow to the brain. Reverse Trendelenburg places the bed straight but at an angle that puts the feet lower than the head. Fowler's position raises the head of the bed into a 90 angle so the client is sitting upright. Semi-Fowler's raises the head of the bed approximately 45 so the client's head is upright at a reclining angle.