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concept of nursing 1
Patient Positioning: Hypotension - CE
| Question | Answer |
|---|---|
| During a procedure, the patient complains of being lightheaded. An assessment reveals pale, clammy skin and a blood pressure of 72/48 mm Hg. What should the nurse do? | Position the patient supine with the legs elevated. |
| When a patient is placed in the modified Trendelenburg position, which action is most important for the nurse to perform? | Monitoring the patient’s oxygen saturation level and accessory muscle use |
| A patient involved in a motor vehicle collision arrives in the emergency department hypotensive, unresponsive, and tachycardic. In this case, which statement accurately characterizes the Trendelenburg position? | It is contraindicated because the patient has the potential for head and spinal cord injuries. |
| Which statement best describes the modified Trendelenburg position? | The patient is supine with the head and torso flat and the legs elevated. |
| The Trendelenburg position can be detrimental because it may increase which factor? | Intracranial pressure |
| A patient who is 32 weeks pregnant arrives immobilized on a backboard after the patient’s car was rear-ended at a stoplight by a vehicle at low speed. The patient is complaining of dizziness. What should the nurse do immediately? | Tilt the backboard to the left. |
| While placing a patient with hypotension in a modified Trendelenburg position, the patient complains of increased pain. What should the nurse do? | Refrain from elevating the lower extremities. |
| When the nurse places the patient in a supine position in preparation for the modified Trendelenburg position, the patient’s oxygen saturation drops. Which preexisting condition would most directly contribute to this condition? | Obesity |
| A patient who collapsed while walking into the emergency department had a blood pressure of 82/50. The patient was placed in the modified Trendelenburg position and now has a blood pressure of 76/45. What should be the nurse’s next action? | Prepare to initiate IV fluids. |
| When the nurse places a patient who is 40 weeks pregnant with hypotension on the left side, the patient asks why this is done. What is the nurse’s best response? | “This will take the weight of the baby off the blood vessel that returns blood to your heart. |
Created by:
Lightnning54
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