38. Following a left pneumonectomy, the optimal position for a client would be:
. In a high Fowler's position.
. Supine with a pillow under the right shoulder.
. Supine with a pillow under the left shoulder.
. Left side-lying to promote expansion of right lung.
Test-Taking Tip
Visualize the surgery. The left lung is removed and the chest cavity on the left is empty. Only one lung remains. Next, eliminate the two options with "supine."
Content Area: Adult Health, Respiratory; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications of Diagnostic Tests/Treatments/Procedures
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Answer 1 is correct because high Fowler's and turned slightly on the operative side promotes ventilation in the remaining lung. Answer 2 is incorrect because the supine positioning is incorrect, although the pillow under the right shoulder is appropriate. Answer 3 is incorrect because supine does not facilitate ventilation of the remaining lung. The client can be positioned on the operative side with a pillow under the right shoulder. Answer 4 is incorrect because this positioning will contribute to mediastinal shift to the operative side.