Examkin

Soru

Zorluk: ZorBasic Care and Comfort

A client is recovering on a surgical step-down unit 24 hours after undergoing a left total pneumonectomy. The client requests assistance to shift positions for pressure relief and improved comfort. Which positioning action is most appropriate for this client?

  1. A
    Turn the client onto the right side and support the upper extremities with pillows.
  2. B
    Place the client in a strict supine position with the head of the bed completely flat.
  3. Assist the client onto the left side with the head of the bed elevated 30 to 45 degrees.Cevap
  4. D
    Position the client prone with a small towel roll placed under the abdomen.

Cevap

Assist the client onto the left side with the head of the bed elevated 30 to 45 degrees.
Following a total pneumonectomy, the client should be positioned on the operative side (in this case, the left side) or supine with the head elevated. This specific positioning ensures that the single remaining healthy lung (the right lung) can expand fully without being restricted by the weight of the body. Furthermore, elevating the head of the bed 30 to 45 degrees promotes optimal diaphragmatic excursion and maximizes ventilation.

Adım Adım Çözüm

1
Identify the surgical procedure and the affected side from the clinical scenario.
The client underwent a left total pneumonectomy (complete removal of the left lung).
The specific type and location of thoracic surgery dictate the mandatory postoperative positioning guidelines.
2
Determine the optimal positioning rules for a total pneumonectomy.
Clients must be positioned on their back (supine with elevation) or on the operative side.
Positioning on the operative side allows the remaining healthy lung to expand without being compressed by the body's weight, and it prevents fluid in the surgical stump from draining into the healthy lung.
3
Select the option that correctly applies these positioning rules.
The left side is the operative side. Placing the client in a semi-Fowler's position on the left side is correct.
This intervention maximizes respiratory function, promotes comfort, and ensures client safety.

Anahtar Kavram

Post-pneumonectomy positioning requires placing the client on the operative side to maximize the expansion of the remaining healthy lung.
Bu soruyu puanla

Konular

Basic Care and Comfort

Bu konudan daha fazla soru