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A nurse in a critical care unit is caring for a client who is

postoperative following a right pneumonectomy. After
extubation from the ventilator, in which of the following
positions should the client be placed?

(A) Prone
(B) On the nonoperative side
(C) Sims'
(D) Semi-Fowler's

User Madiyor
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1 Answer

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Final answer:

After a right pneumonectomy, the recommended position for a client is the semi-Fowler's position, which is a semi-upright position that facilitates breathing and promotes drainage. It is considered more beneficial than other positions, such as prone or on the nonoperative side, for postoperative care.

Step-by-step explanation:

The question is related to the appropriate positioning of a client who has undergone a right pneumonectomy (removal of the right lung) and has been extubated from the ventilator. The position that is generally recommended is the semi-Fowler's position, which is a semi-upright sitting position where the head of the bed is elevated at a 30 to 45-degree angle. This position can help to improve ventilation, facilitate breathing, and promote drainage from the chest. It is important to ensure that the surgical team, including the surgeon, nurse, and anesthesia professional, review aloud the key concerns for the recovery and care of the patient, which certainly includes the proper postoperative positioning.

Placing the patient on the nonoperative side might also be suggested to avoid pressure on the surgical site. However, the semi-Fowler's position is often preferred because it enhances comfort as well as physiological benefits for the patient during the recovery process after a pneumonectomy.

User Justin Pollard
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