Author Question: When a patient with impaired physical mobility is in the recumbent position, what angle of lateral ... (Read 39 times)

newyorker26 · **on:** Jul 22, 2018

When a patient with impaired physical mobility is in the recumbent position, what angle of lateral position is recommended?

a. 15 degrees
b. 30 degrees
c. 45 degrees
d. 90 degrees

Question 2

The nurse is caring for a patient supported with a ventilator who has been unresponsive since arrival via ambulance 8 days ago. The patient has not been identified, and no family members have been found.

The nurse is concerned about the plan of care regarding maintenance or withdrawal of life support measures. The nurse determines that this is an ethical dilemma not resolved by scientific data. Place the steps the nurse will use to resolve this ethical dilemma in the correct order. a. The nurse identifies possible solutions or actions to resolve the dilemma.
b. The nurse reviews the medical record, including entries by all health care disciplines, to gather information relevant to this patient's situation.
c. Health care providers use negotiation to redefine the patient's plan of care.
d. The nurse evaluates the plan and revises it with input from other health care providers as necessary.
e. The nurse arranges a meeting with health care team members to clarify opinions, values, and facts.
f. The nurse states the problem.

cloud · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B

Feedback
A The correct angle for a patient in the recumbent position with impaired physical mobility is not 15 degrees.
B When a patient with impaired physical mobility is in the recumbent position, the 30-degree lateral position reduces pressure from the sacral area and reduces the risk of skin breakdown.
C The correct angle for a patient in the recumbent position with impaired physical mobility is not 45 degrees.
D The correct angle for a patient in the recumbent position with impaired physical mobility is not 90 degrees.

Answer to Question 2

B, E, F, A, C, D
Using the steps of processing an ethical dilemma, once the nurse identifies that an ethical dilemma exists, the nurse then gathers information relevant to the case; clarifies values and distinguishes between fact, opinion, and values; and verbalizes the problem. Then the nurse identifies possible solutions or actions, works with the health care team to negotiate a plan, and evaluates the plan over time.