Page 2575 - Saunders Comprehensive Review For NCLEX-RN

1. Sitting up and leaning on a table
2. Standing and leaning against a wall

3. Lying supine with the feet elevated

4. Sitting up with the elbows resting on knees

5. Lying on the back in a low-Fowler’s position

882. A client is about to undergo a lumbar puncture. The nurse describes to the
client that which position will be used during the procedure?
1. Side-lying with a pillow under the hip
2. Prone with a pillow under the abdomen
3. Prone in slight Trendelenburg’s position
4. Side-lying with the legs pulled up and the head bent down onto
the chest
883. The nurse recognizes that which interventions are likely to facilitate effective
communication between a dying client and family? Select all that apply.
1. The nurse encourages the client and family to identify and
discuss feelings openly.

2. The nurse assists the client and family in carrying out
spiritually meaningful practices.
3. The nurse removes autonomy from the client to alleviate any

unnecessary stress for the client.
4. The nurse makes decisions for the client and family to relieve
them of unnecessary demands.

5. The nurse maintains a calm attitude and one of acceptance
when the family or client expresses anger.
884. A depressed client verbalizes feelings of low self-esteem and self-worth
typified by statements such as “I’m such a failure. I can’t do anything right.”
How should the nurse plan to respond to the client’s statement?
1. Reassure the client that things will get better.
2. Tell the client that this is not true and that we all have a purpose
in life.
3. Identify recent behaviors or accomplishments that demonstrate
the client’s skills.
4. Remain with the client and sit in silence; this will encourage the
client to verbalize feelings.
885. The nurse has just admitted to the nursing unit a client with a basilar skull
fracture who is at risk for increased intracranial pressure. Pending specific
primary health care provider prescriptions, the nurse should safely place the
client in which positions? Select all that apply.
1. Head midline

2. Neck in neutral position

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