Published Mar 2, 2011
cyram81APRN, MSN
253 Posts
I came across this question and would like to know more about the rationale.
The question is:
The nurse is caring for a client with hemiparesis caused by a stroke. The client is barely repsonsive. Which intervention takes highest priority?
1. Performing passive ROM
2. Placing client on the affected side
3. Using hand rolls or pillow for support
4. Applying antiembolism stockings as ordered
the answer is 2--maintaining a patent airway
What I am inquiring is that if we have a patient with that problem, we put them on the affected side to increase lung expansion? is that correct?
ann_08RN
249 Posts
yeah you are right, you should position the good side where it won't impede the circulation.
sweet thank you for the clarification Ann_08! I have been trying to increase my knowledge in pathophys in order to take my NCLEX again. So my friends told me pathophsy and just breaking down the words will help me pass my NCLEX. =D
he he he, good to luck to us on our exams.. im doing nclex 4000 and saunders 5th ed at the same time.. well, will keep ourselves updated and clarified with some issues too..
caliotter3
38,333 Posts
Sounds like you've got this one down. Good luck.