Page 521 - Saunders Comprehensive Review For NCLEX-RN

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141. The nurse creates a plan of care for a client with deep vein thrombosis.
Which client position or activity in the plan should be included?
1. Out-of-bed activities as desired
2. Bed rest with the affected extremity kept flat
3. Bed rest with elevation of the affected extremity
4. Bed rest with the affected extremity in a dependent position
142. The nurse is caring for a client who is 1 day postoperative for a total hip
replacement. Which is the best position in which the nurse should place the
client?
1. Head elevated lying on the operative side
2. On the nonoperative side with the legs abducted
3. Side-lying with the affected leg internally rotated
4. Side-lying with the affected leg externally rotated
143. The nurse is providing instructions to a client and the family regarding home
care after right eye cataract removal. Which statement by the client would
indicate an understanding of the instructions?
1. “I should sleep on my left side.”
2. “I should sleep on my right side.”
3. “I should sleep with my head flat.”
4. “I should not wear my glasses at any time.”
144. The nurse is administering a cleansing enema to a client with a fecal
impaction. Before administering the enema, the nurse should place the client
in which position?
1. Left Sims’ position
2. Right Sims’ position
3. On the left side of the body, with the head of the bed elevated 45
degrees
4. On the right side of the body, with the head of the bed elevated 45
degrees
145. A client has just returned to a nursing unit after an above-knee amputation
of the right leg. The nurse should place the client in which position?

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