Dependent position nursing On the basis of this documentation, which pattern did the nurse observe? 1. 9 mEq/L c) BUN 12 mg/dL d) Sodium 132 mEq/L, A nurse is caring for a client who has cancer and has a WBC You note that the lower extremities have edema and brownish pigmentation. " E. Patch both eyes. Keeping the finger in a dependent position during the puncture Rationale: The nurse would keep the finger in a dependent position to encourage blood flow to the intended puncture site. Pulmonary embolism D. Jun 19, 2024 · 1. Verify the radial pulse. Nurses can assess for postural color changes in darker-skinned patients by inspecting the; soles of the feet. Instruct the patient not to touch the eyes to avoid contamination. Which nursing intervention is most appropriate? A: have the patient stand up and retake her blood pressure B: have the patient sit down and hold her arm in a dependent position C: have the Study with Quizlet and memorize flashcards containing terms like When assessing a postoperative patient , a nurse notes tenderness, redness, and swelling in the left calf. Prone position - lying on the abdomen, used post-operatively or for certain exams/procedures. Which of the following lab results should the nurse review? A. Choose the most proximal site on the extremity selected D. It was a select all that apply and the correct answers were: place child in a side lying position with the right side of the chest elevated on pillows Jul 21, 2023 · Color changes (rubor) of the feet progress to cyanosis (in only one extremity or certain digits) that appears when the extremity is in a dependent position. Good lung UP: Exceptions where the patient should be placed so the bad lung is in the dependent position include massive hemoptysis (prevent blood from filling the good lung), large pulmonary abscesses (prevent pus from filling the good During the physical assessment of the peripheral vascular system, a patient's foot is pale when elevated and dark red when in the dependent position. The upper leg is flexed more than the lower leg. FUNCTIONS OF THE NURSE It is precisely this position that raises the question of the dependent function of the nurse being one that is dependent on the doctor. The nurse is assessing which pulse? A) Temporal B) Brachial C) Popliteal D) Femoral, 30. legs are elevated to about 60 degrees. Patient with type 1 diabetes who has had nausea and vomiting for 24 hours D. Use a thick moisturizer on your feet, and inspect them Jun 1, 2014 · Positions - Download as a PDF or view online for free. Various types of paresthesia may develop; radial and ulnar artery pulses are absent or diminished if upper extremities are involved. Study with Quizlet and memorize flashcards containing terms like 1. Study with Quizlet and memorize flashcards containing terms like C. Remove loose nonviable In selecting and preparing the vascular puncture site, the nurse must Hold the finger in a dependent position and massage it towards the site. V arious positions that help alleviate discomfort/pain; E xplanation of the pain (when it happens, characteristics of the pain) S kin (color, temperature, nails) S trength of Pulse; E dema; L esions (ulcers and their location and appearance) V arious positions help alleviate the pain… Arterial: Dangling the legs down (dependent position B. Kraske (Jackknife) Position I. The nurse should assist the client to which position for the procedure? 1. The nurse is educating the family of an infant on how to perform a heel puncture correctly to prevent Study with Quizlet and memorize flashcards containing terms like 5. For each nursing action, click to specify if the intervention is appropriate to increase the arterial blood supply to the client's extremities or to promote vasodilation and prevent vascular compression. site to ensure patency and prevent extravasation during dopamine therapy. dependent position Nursing Diagnosis Risk for impaired skin integrity r/t using a hanger to scratch skin surface beneath cast on the right leg (Ladwig & Ackley, 2013). Dependent position, A If the patient is in bed in an inpatient setting, raise the patient’s bed to waist level. , with left eye superior temporal detachment, keep client supine with head turned toward left). I wouldn't be surprised if all those non-beside jobs (especially research gigs) haven't been taken already in the LA area, or is very competitive to break into Sep 5, 2011 · Another example of this nursing judgement would be an NG tube. Knowing when to use the different positions, and the potential risks involved, can help you improve patient care. ) Begin active range of motion. Which of the following is an essential nursing action for a patient who has circumferential full-thickness burns on an extremity? a. You note that the lower extremities have edema and brownish pigmentation. Study with Quizlet and memorize flashcards containing terms like A nurse is setting goals for a client who has AIDS and is at the end of life. Great advice. "Perform isometric exercises as directed. , A In prone position, there is less over-distension in non-dependent lung regions and less cyclical airspace opening and closing in dependent regions, the putative causes of ventilator-induced lung injury [7, 38]. nailbeds of the feet. During a client's vascular assessment, the nurse is palpating the pulse just under the client's inguinal ligament. Out-of-bed activities as desired 2. Provide care in a calm manner D. This should make IV insertion easier with a higher chance of success. In prone position, the patient lies on the abdomen with head turned to one side; the hips are not flexed. Place the patient in a comfortable sitting or reclining position, leaving the arm in a dependent position. Sep 14, 2022 · The difference between a high Fowler, standard Fowler, and semi-Fowler position is the bed angle. Wash the patient’s face with antibacterial solution. Bed rest with the affected extremity kept flat 3. The physiologic and clinical significance of this finding is discussed. 0 mEq/L b) Lithium 0. Warm water, dangling the hand for 15 seconds, and a warm towel stimulate the blood flow to the fingers. For example, if the outer portion of the left retina is detached, the client Jan 28, 2014 · The answers for facilitating the movement of secretions is putting the child's head in a dependent position. Respirations that cease for several seconds 2. Prone, with a pillow under the abdomen 2. The client reports the right heel is very painful and he has trouble walking. Deep vein thrombosis D. E xplanation of the pain (when it happens, characteristics of the pain) S kin (color, temperature, nails) S trength of Pulse. R. In this position, gravity helps lower the risk of gastroesophageal reflux. What is the priority action for the nurse?, The primary muscles of respiration include the diaphragm and Question: A nurse is assisting with the care of a recently deceased client. Monitor pulmonary artery pressures Study with Quizlet and memorize flashcards containing terms like 1. Insert a retention catheter c. We would like to show you a description here but the site won’t allow us. circulation, places a warm cloth on the site for about 10. " 37,554 Dependent Nurse jobs available on Indeed. Oct 9, 2024 · Raise the client’s bed to an appropriate height and place the client in a position that allows the arms to fall into a dependent position. Retinal detachment Bed rest with minimal activity and repositioning. Apr 3, 2023 · Impaired Gas Exchange Nursing Interventions and Rationales Common nursing interventions for impaired gas exchange include: Assist the patient in finding a comfortable position by elevating the head of the bed, sitting in a chair, or sitting up while leaning forward onto a table or other surface. Lateral position - lying on the side, used for periodic position changes or certain exams/procedures. C) Sleep with legs in a dependent position. Supine, foot above the heart B. dorsal aspect of the feet. 2 Jun 24, 2021 · New grads don't have to work the bedside but it can be market dependent. Flatten the angle of attack. Hope this helps. A client presents to the health care clinic with a 3-week history of pain and swelling of the right foot. Prone, in a slight Trendelenburg's position 3. In the standard Fowler position, the head of the bed is elevated between 45-60 degrees, and this position is commonly used for head, shoulder, and chest surgeries as well as for respiratory distress syndrome because it facilitates breathing. straight ahead position; straightforward position See centre of rotation of the eye; primary position. facility policy, and dries it with a gauze May 2, 2009 · General Nursing › Catheter Bag Position; Catheter Bag Position Published May 2, 2009. Study with Quizlet and memorize flashcards containing terms like A client is being prepared for a thoracentesis. elevate both legs above the heart when resting C. Cleanses the site with an antiseptic pad, or according to. g. Study with Quizlet and memorize flashcards containing terms like A client is being prepared for a thoracentisis. The nurse is concerned that this patient is at risk for developing: A) Neuropathic ulcers B) Venous insufficiency ulcer C) Arterial insufficiency ulcers D) Deep vein thrombosis Jul 14, 2014 · Good lung DOWN: In general, the good lung should be placed in the dependent position to improve V/Q matching. Flat on the bed 2. place the client's arm in a dependent position (rationale: the nurse should place the client's arm in a dependent position bc the veins will dilate due to gravity) other rationales: A> generally, the nurse should insert the catheter at a 10-30 degree angle, however, for an older adult client an angle of 10-15 degrees is preferable bc veins Study with Quizlet and memorize flashcards containing terms like Pallor of foot occurs with elevation, A nurse observes a decrease in hair on the lower extremities of an elderly client. Mitral valve replacement Post-op: semi-Fowler’s position. avoid handling the cast using fingertips. place both legs in dependent position while sleeping and more. Which nursing diagnosis should the nurse confirm from these data? 1. Notify the physician immediately, The nurse is teaching a patient the correct method for administering ear drops. The nurse examines the patient's feet and notes lancet marks on both the A) Apply an ice pack to the site of the bite B) Apply a tourniquet just above the elbow C) Administer a corticosteroid D) Place the extremity in a dependent position and more. Position the feet higher than the body. ) Remain on bedrest for the first 24 hr. Preventing hypotension will help to Which of these nursing actions included in the care of a mechanically ventilated patient with acute respiratory distress syndrome (ARDS) can the RN delegate to an experienced LPN/LVN working in the intensive care unit? a. c. Monitor pulmonary artery pressures It is often important to keep the patient’s hand warm and in a dependent position to promote vasodilation and obtain a good blood sample. Prone, foot above the heart, A 1-week-old patient needs a bilirubin level assessment. place gauze around the cast edge to pad any roughness. cover the cast with a small blanket to absorb the Which of the following action should the nurse take? A. Overview Positioning Reasons for positioning Common types Other types Nursing Points General Reasons for positioning Identify Needs Response to a need Think “form and function” Common Types Fowlers Elevation of the head of bed Degree dependent on the problem or complaint Higher degree indicates better thoracic expansion Decreases likelihood of aspiration Low Fowler’s 15°-30° Semi Jan 13, 2021 · Supine position - lying on the back with head and shoulders slightly elevated. Restricting fluids 2. Rub the earlobe briskly with a small piece of gauze. The patient’s lower legs are parallel with the O. B) Limit activity whenever possible. Lying in bed on the unaffected side 3. Position of comfort 4. Study with Quizlet and memorize flashcards containing terms like an enzyme that temporarily and reversibly depolymerizes hyaluronic acid; this creates microchannels in the interstitial matrix that allows fluids to flow through, A nurse regularly inspects a client's I. . An inflated blood pressure cuff makes a fantastic tourniquet and doesn’t pinch arm hairs or skin like those little rubber straps that come in the IV start kit. It depends on area of datachment. Maintain a slightly dependent position when resting. Rationale: Maximizes chest expansion and comfort. Patient with type 2 diabetes who required insulin coverage at the last testing C. Monitor intake and output to determine We would like to show you a description here but the site won’t allow us. To increase the blood flow from the finger-stick location, which intervention should the nurse attempt first?, 2. This action will likely prevent bile leakage, abscess formation, and hepatic thrombosis. Putting on sequential compression stockings Position affected limb(s) in a dependent position Rationale: Promotes gravitational blood flow; Administer prescribed medications Rationale: Improves blood flow and reduces symptoms; Desired Outcomes: Maintain adequate tissue perfusion; Demonstrate improved peripheral pulses; Show normal skin color and temperature; Report decreased pain levels May 4, 2022 · Standard Lithotomy Position: The patient’s hips are flexed until the angle between the posterior surface of the patient’s thighs and the O. Keep the lower extremities in a neutral or dependent position Rationale: For patients with PAD, blood flow to the lower extremities needs to be enhanced; therefore, the nurse encourages keeping the lower extremities in a neutral or dependent position. Speak to the patient and determine if they can partially or fully assist. Skin cool to touch from mid calk to toes 2. 4 kPa) -partial pressure of arterial oxygen (PaO2) 58 mm Hg (7. Pulses are present bilaterally and the extremities feel warm to the touch. Cover the area with an elastic wrap. C. - Leg pulses are normal but difficult to assess because of edema. Side-lying position, with legs pulled up and head bent down onto the chest Rationale: The client undergoing LP is positioned lying on the side, with the legs pulled up to the abdomen and the head bent down onto the chest. Position patient with detached area dependent/inferior so gravity pushes detachment closer to choroid (e. Lateral VIII. The nurse assesses this edema to be 3 + and pitting. Pulmonary edema C. "Position your affected extremity in a dependent position. , Which nursing assessment finding supports the diagnosis of chronic arterial insufficiency? - Ulceration is noted on the great toe of the affected foot. Go by feel when searching for a vein, more than trying to visualize it. The primary reason for placing a patient in a specific surgical position is to give the surgeon C. Documentation of Nursing Actions Overview 1. cpýÈԬ ÐásÞÿ÷²õý ÏÜ{?þCÝ»ÒUöL Ô –±ÿX. Position G. The nurse finds that the patient's pain is relieved after placing the extremity in a dependent position. The upper knee and hip should be at the same level. Place patient in the prone position d. horizontal position horizontal position Nursing questions and answers; Which lifestyle modification would the nurse recommend for a client with peripheral arterial disease of the legs? Select all that apply. "Resume normal activity within 12 hr. To assist in breathing. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with peripheral arterial disease (PAD). Start studying Patient Positioning Nursing Cheat Sheet for NCLEX - Nurseslabs. However, uncertainty surrounds the effectiveness of lateral positioning for improving pulmonary gas exchange, Jul 19, 2021 · In the reverse Trendelenburg position, the bed is flat, but tilted forward, so the head of the bed is higher than the foot of the bed. Prone with the head turned to the side supported by a pillow, The nurse is caring for Jan 31, 2020 · patient is in a prone position. I believe that the functions of the nurse should be described as depen­ dent, interdependent and indepen­ dent with a shift in the traditional meaning of the dependent function. Your feet are in the nondependent position when you sit up with them on a foot stool, but they probably aren't higher than your heart. Place the bleeding joint in the dependent position. Which action would the nurse perform to best ensure effective insertion of a venous access device into a patient's arm? A. AúåTiåù«û’ ÁÝÁK¯Œ¾_9´ïhiU®’ ,¨‚‰µòÈë~køÚØ©Ì·—eI Smû ÐM”mm Critically ill patients require regular body position changes to minimize the adverse effects of bed rest, inactivity and immobilization. A body part is nondependent when it is higher than it usually is, like up on pillows or in traction. 3. E dema. Study with Quizlet and memorize flashcards containing terms like A client is being prepared for a thoracentesis . It was a select all that apply and the correct answers were: place child in a side lying position with the right side of the chest elevated on pillows May 12, 2013 · Nurselabs says: Detached retina - area of detachment should be in the dependent position. 14. Keeping the T-tube in a dependent position **The nursing intervention most likely to prevent the complications of bile leakage and abscess formation is keeping the T-tube in a dependent position and secured to the client. D. Place the extremity in a dependent position C. It is not the recommended position for post-operative care. Elevate foot of the bed 3. Place the patient’s extremity in a dependent position, meaning lower than their heart. Which of the following laboratory values should the nurse report to the provider? a) Potassium 4. Which client position or activity in the plan should be included? 1. For which symptoms does the nurse assess? a) Reproducible leg pain with exercise b) Unilateral swelling of affected leg c) Decreased pain when legs are elevated d) Pulse oximetry reading of 90%, True or False: Ankle-brachial index is a diagnostic study used Study with Quizlet and memorize flashcards containing terms like A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and shortness of breath, and the client is visibly anxious. tertiary position Movement of an eye to an oblique position, as, for example, 'up and in'. The patient says he has been sitting with his legs in a dependent position for several hours. Dec 28, 2006 · 9. Arterial insufficiency ulcers B. , A client admitted to the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for 2 days. Edema is often present secondary to the foot being in a dependent position, and a deep vein thrombosis may be suspected. Prone with the head turned to the side and supported by a pillow, The nurse is Which action would the nurse perform to best ensure effective insertion of a venous access device into a patient's arm? A. Postoperative Transfer XI. Insufficient oxygenation c. Which of these nursing actions included in the care of a mechanically ventilated patient with acute respiratory distress syndrome (ARDS) can the RN delegate to an experienced LPN/LVN working in the intensive care unit? a. Administering medication as ordered is a dependent, not independent, nursing intervention. Place the patient's left arm in a dependent position for 5 minutes before assessment. The nurse is having difficulty extracting blood from a finger stick for an adult patient's blood glucose test. Assess breath sounds b. Encourage frequent deep breathing and coughing to meet oxygen demand. V arious positions that help alleviate discomfort/pain. Decreased arterial blood flow d. Bed rest with elevation of the affected extremity 4. Lie on the operative side. Walk more throughout the day. Place the client's head in a dependent position. A pillow is given under the head, back and front to support the arms During the physical assessment of the peripheral vascular system, a patient's foot is pale when elevated and dark red when in the dependent position. See full list on nurseslabs. Patient with type 2 Place the client’s legs in a dependent position in relation to the heart to improve peripheral blood flow; Avoid raising the client’s feet above heart level unless specifically prescribed by the health care providers; Keep the client in a neutral, flat, supine position if in doubt about the nature of his peripheral vascular problems. what should the nurse do next?, What should the nurse tell the patient when instructing her about postoperative exercises?, Which change in an older adult patient places that individual at greater risk for surgury? and more. Do not milk or massage the finger because it may introduce excess tissue fluid and hemolyze the specimen. Place a synthetic dressing over the area. Wrap the finger first in a warm cloth for 3 to 5 minutes. Sims position with the head of the bed flat 4. The body is sustained in a stable floating position in the water by a personal flotation device. One, some, or all responses may be correct. Which intervention should the nurse include? Maintain a supine position with legs in the dependent position to promote venous return. A flexed position is not the recommended post-operative positioning for the residual limb. A nurse inspects the foot and observes swelling and a large ulcer on the heel. Elevated position above heart level D. Apply a cool compress for several minutes before insertion of the IV catheter B. b. The The position is assumed by floating on the back with the head and neck above the water line, the arms crossed on the chest, and the legs crossed with the knees drawn up toward the perineum. 2. Just like dorsal recumbent, supine position provides comfort in general for patients recover after some types of surgery. Monitoring distal pulses of the extremity c. To achieve the desired outcome of the procedure, which action does the nurse perform first? a. Prepare for replacement of the missing clotting factor. ) An older adult with a history of varicose veins presents with lower extremities that are reddish-brown and edematous. Prone 1. Warm the extremity and place it in a dependent position. Used as the usual position. To help alleviate the patient's symptoms, the nurse will position the lower extremities in the? A. What intervention related to position of the residual limb is a priority at this time? You answered this question Correctly 1. D) Avoid the use of pressure stockings. B. wear tightly-fitted insulated socks with shoes when going outside B. keep the left arm in dependent position. Pneumonia B. Prepare the patient for surgery. The presence of faint pedal pulses in a client has prompted the nurse to perform a position change test for arterial An independent nursing intervention to promote patient tissue perfusion is encouraging regular exercise, which improves circulation and perfusion to the lower extremities. Multiple factors should be considered when choosing the patient's position. Instruct the patient to remain quiet in prescribed (dependent) position, to keep the detached area of the retina in dependent position. ", A nurse is planning care for a client who is postoperative following an arthroscopy of the knee. Supine, foot in a dependent position C. Which statement by a family member indicates understanding of the education? "You will come in and manually turn my loved one into the prone position. To help alleviate the patient's symptoms, the nurse will position the lower extremities in the - A nursing theory helps identify the focus, means, and goals of practice - Theories gave a perspective to assess the situation of a client and to organize data and methods for analyzing and interpreting information - Application of nursing theory in practice depends on the knowledge of nursing and other theoretical models, how they relate to A nurse is collecting data from a client who has peripheral artery disease and is scheduled for a right lower extremity amputation. LATERAL POSITION The client lies on the side with weight on hip and shoulder or the patient lies on his side with both arms forward and his knees and hips flexed. Study with Quizlet and memorize flashcards containing terms like The nurse creates a plan of care for a client with deep vein thrombosis. L esions (ulcers and their location and appearance) V arious positions help alleviate the pain… Arterial: Dangling the legs down (dependent position May 12, 2013 · Nurselabs says: Detached retina - area of detachment should be in the dependent position. Myringotomy Post-op: Position on side of affected ear. Apply a tourniquet on an upper extremity to dilate the veins and assess for an appropriate insertion site. Study with Quizlet and memorize flashcards containing terms like A nurse is completing discharge teaching with a client following arthroscopic knee surgery. What is the treatment for dopamine extravasation? a The nurse is educating a patient's family on the use of kinetic therapy. Which stage of chronic peripheral arterial disease does the nurse expect in the patient?, What works on the collecting tubules in the kidneys to Study with Quizlet and memorize flashcards containing terms like During vital sign assessment of a pregnant patient in her third trimester, the patient complains of feeling faint, dizzy, and agitated. Explain to the patient why their position is being changed and how the team will do it. Implementing dependent position in nursing care requires a number of best practices, including assessing the patient’s needs and capabilities, properly positioning the patient, and regularly checking and adjusting the patient’s position. Dependent position B. com Oct 31, 2022 · Appropriate patient position can facilitate proper physiologic function during pathophysiologic processes and access to certain anatomical locations during surgical procedures. For which health problem should the nurse collect additional data? a. Helps detached retina fall into place. Positioning the Morbidly Obese Patient IX. Evaluating the Positioned Patient X. - Skin is cyanotic when the leg is in a dependent position. Jul 31, 2024 · Study with Quizlet and memorize flashcards containing terms like How should the patient be positioned for a heel stick? A. The presence of faint pedal pulses in a client has prompted the nurse to perform a position change test for arterial Bed rest with the affected extremity in a dependent position, The nurse is caring for a client who is on strict bed rest and creates a plan of care with goals related to the prevention of deep vein thrombosis and pulmonary emboli. What position should the nurse teach the client to use? 1. Prone with the head turned to side and supported by a pillow, The nurse creates a Oct 23, 2018 · Place the arm in a dependent position and give gravity some time to work its magic. Although all of the actions listed below are appropriate, which one would be of particular benefit to this patient given her medical history?, For which Study with Quizlet and memorize flashcards containing terms like A patient reports numbness, burning, and pain in the forefoot while resting. Sims ' position with the head of the bed flat 4. The nurse will place the lower extremities in a dependent position, not elevate them. Try to make them less anxious. " D. Follow the manufacturer’s instructions to prepare the glucometer for measurement. To allow drainage of secretions. The nurse should assist the client to which position for the procedure ? 1. Position the Extremity. secondary position Movement of an eye represented by a horizontal or vertical rotation away from the primary position. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient who has severe edema in his legs. Positions the finger in a dependent position and. Keeping the extremity in a dependent position b. , 8. Patient with type Study with Quizlet and memorize flashcards containing terms like Immediately following a below-the-knee amputation (BKA), the nurse positions the client to prevent complications. Study with Quizlet and memorize flashcards containing terms like The nurse is teaching the care of patients experiencing septic shock to colleagues. Remain in a semi-Fowler's position. - Notify the healthcare provider. Horizontal position C. Apply to Nurse, Compensation Specialist, Registered Nurse - Icu and more! Place the child in a prone position Administer phenytoin oral solution Tuck the child's arms and legs tightly in a bedsheet Time the length of the seizure activity, A nurse is planning care for a school-age child who is postoperative following cardiothoracic surgery and has a closed chest tube drainage system to suction in place. Maintain the residual limb in a flexed position: Keeping the residual limb in a flexed position may increase pressure on the surgical site and hinder proper wound healing. Lying in bed on the affected side 2. Performing an escharotomy as a prophylactic measure d. A nurse is creating an education plan for a patient with venous insufficiency. Open and prepare all equipment on a clean, dry surface (attach Luer lock hub to extension tubing, attach saline flush, prime extension tubing). Develop rubor when extremity is in a dependent position 3. Lithotomy position. In contrast, for patients with venous insufficiency, blood return to the Feb 11, 2022 · Dependent position will increase blood flow to the area. Googled "dependent position detached retina" and a textbook says, "After surgery for a detached retina, the client is positioned so that the detachment is dependent or inferior. See version. An occupational health nurse is The blood flow, as reflected by the arteriovenous oxygen difference, in the arms and legs is greater in the dependent position than in the horizontal position. com. apply heating pad to both legs for comfort D. Discuss follow-up treatment with an ophthalmologist C. d. Prone. My spouse is a phlebotomy nightmare and my oldest child is worse. ) Keep the leg in a dependent position. 11. minutes before obtaining the blood sample. Prone, foot in a dependent position D. 33 -partial pressure of arterial carbon dioxide (PaCO2) 48 mm Hg (6. Mayfield Headrest (with Pins) H. For which patient can the nurse delegate to nursing assistive personnel (NAP) the task of routine blood glucose monitoring? A. Myocardial infarction, A 24-year-old man Study with Quizlet and memorize flashcards containing terms like The nurse has selected a finger as the puncture site to measure the blood glucose level of a female patient with type 2 diabetes mellitus and peripheral vascular disease (PVD). Select the side of the finger beside the bone Nursing Intervention . Bed rest with the affected extremity in a dependent Place the patient in dependent position B. If the patient has tiny veins slow down. V. If necessary, warm compresses can be applied for 10 minutes prior to the procedure to promote vasodilation. Also Read: “10 ER Nursing Hacks you Need to Know” Nitroglycerin Ointment 2% Nov 12, 2013 · Hanging the foot over the bed, sleeping in a chair with the legs dependent, or, paradoxically, walking around the room provide some relief by using gravity to assist with blood delivery (clinically apparent as dependent rubor). Clean soiled areas of the body. Study with Quizlet and memorize flashcards containing terms like A client experiencing a severe asthma attack has the following arterial blood gas results: -pH 7. A patient has a long-arm plaster cast applied for immobilization of a fractured left radius. Until the cast has completely dried, the nurse should a. Which of the following instructions should the nurse include in the teaching? A. Administer aspirin for the client's pain. Sims' position with the head of the bed flat 4. Side-lying position, with a pillow under the lower back, hip, and knees 4. Knee-flexed Study with Quizlet and memorize flashcards containing terms like 1. Neuropathic ulcers Study with Quizlet and memorize flashcards containing terms like 25. Having the client keep the radial pulse puncture site in a dependent position for 5 minutes, The nurse is caring for a client with diabetic ketoacidosis and documents that the client is experiencing Kussmaul's respirations. Study with Quizlet and memorize flashcards containing terms like The nurse plans care for a client who is newly diagnosed with peripheral artery disease (PAD). What test is the nurse performing on the client? and more. Placed a tourniquet below the proposed insertion site and more. Johnnyspud. What is an appropriate action by the nurse in regards to this finding?, The nurse is testing the valvular competency of the saphenous system. Apply a shroud around the body with a visible identification tag. , A nurse is reviewing a client's repeat lab results 4 hours after administering fresh frozen plasma (FFP). Dependent edema goes to the lowest parts of your body when you are standing or sitting. Insert the device tip at a 45-degree angle distal to the proposed site. Lithotomy position is when your patient is lying supine, but their legs are flexed and abducted. Patient with non-insulin-dependent diabetes for whom steroid therapy has been ordered B. Venous blood flow problems, A patient being treated for a severe blood Which of the following action should the nurse take? A. Aug 15, 2018 · Putting the arm in a dependent position forces blood pooling in the distal veins, which will make them bigger and easier to see and palpate. Which of the following instructions should the nurse include? A. ) Apply ice to the affected area. 7 kPa) -bicarbonate (HCO3−) 26 mEq/L (26 mmol/L) Which prescription should the nurse implement first For which patient can the nurse delegate to nursing assistive personnel (NAP) the task of routine blood glucose monitoring? A. Anchor the vein by placing a thumb 1 to 2 inches below the site. Which nursing action is most helpful in preventing these disorders from developing? 1. which of the following findings should the nurse expect in the affected extremity? SATA 1. Place the head in a dependent position. I have never been told what size to use. For infants, older adults, and people with poor. Area of detachment should be in the dependent position. What is the nurse's best action? Stage the affected area and apply an occlusive dressing Place the legs in a dependent position Administer antibiotic therapy immediately Document findings and notify the healthcare provider Study with Quizlet and memorize flashcards containing terms like The nurse notes that a patients lower legs are brown and the feet are blue when they are in the dependent position. Which of the following actions should the nurse complete prior to the family viewing the body?Remove dentures. The nurse is instructing the client about postoperative care following cataract removal. legs are placed in a dependent position. This position uses gravity to slow venous return and distend the veins, which makes it easier to insert the needle properly. Venous insufficiency ulcers C. massages toward the fingertip. Also, just in general to the OP question, some areas in the hospital (like ER and ICU) have policies where a foley can be placed if certain criteria are met and the patient doesn't have any exclusionary reasons why it shouldn't be placed Jul 7, 2008 · I checked in HOGAN, a nursing textbook. " "This therapy is used to decrease blood flow to the dependent parts of the lung. 10. Apr 6, 2022 · Learning these different patient positions can help you prepare for your nursing exams and — later — for your career as a nurse. Patient positioning is often not possible alone, so remember to ask for help when you need it. The answers for facilitating the movement of secretions is putting the child's head in a dependent position. Mar 29, 2022 · NOTE: We are not Headmaster, and cannot help you with anything related to scheduling, rescheduling, or assisting you in any way with your state CNA exam. Just means to elevate it. The nurse understands that a life-threatening complication of this condition is which? A. The nurse provides wound care for a client 48 hours after a burn injury. bed surface is 80 degrees to 100 degrees. 4. Which of the following is an appropriate action by the nurse? (Select all that apply. Blood flow to the extremities is compromised in patients with PVD. Hand draw the specimen rather than use a vacutainer. To the extent that ventilator-induced lung injury complicates ARDS these beneficial effects suggest that prone ventilation should be Study with Quizlet and memorize flashcards containing terms like Your patient reports experiencing dull and achy sensations in the lower extremities. Learn vocabulary, terms, and more with flashcards. bed. The nurse is concerned that this patient is at risk for developing: A. Ple Supine is a back-lying position similar to dorsal recumbent but the head and shoulders are not elevated. What measure should the nurse include in the plan? A) Avoiding tight-fitting socks. Anemia b. Hemilithotomy Position: The patient’s non-operative leg is positioned in standard lithotomy. Apply silver sulfadiazine (Silvadene) ointment. Jan 28, 2014 · I came across a practice NCLEX question about Cystic fibrosis and postural drainage. For example, if the outer portion of the left retina is detached, the client 4 days ago · You are so old school and I love it.