The nurse initiates the following intervention upon receiving a client back to the clinical unit after a throat-related procedure, "Elevate the head of the bed 45°." This assists in meeting which nursing goal?
a) The client will have decreased pain.
b) The client will remain alert and oriented.
c) The client will have decreased edema.
d) The client will have increased tissue perfusion.
Answer: c) The client will have decreased edema.
Explanation:
Elevating the head of the bed 45° when the client is fully awake decreases surgical edema and increases lung expansion. At this point in the recovery, elevating the head of the bed will not decrease the surgical pain as pain medication will be needed. Elevating the head of the bed will not affect mentation nor increase the blood supply. pg.556
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