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.