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    Hesi lpn exit proctored examQuestion 268
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    Hesi lpn exit proctored exam

    The practical nurse (PN) is caring for a client who has a fractured right tibia and fibula. To reduce swelling and promote comfort, the PN should place the client in which position?

    Explanation & Rationale

    A. Dorsal recumbent with the right leg elevated on two pillows: Elevating the injured leg above the level of the heart in the dorsal recumbent position promotes venous return, reduces edema, and relieves pain. This position also helps minimize tissue swelling and prevents complications such as compartment syndrome. B. Supine with a foot board and a trochanter roll to the right leg: A foot board and trochanter roll are used to prevent foot drop and maintain hip alignment. This position does not facilitate venous drainage and may contribute to fluid accumulation in the injured limb. C. Left lateral recumbent position with the right leg supported in proper alignment: While maintaining alignment is important, this position does not promote elevation of the leg, which is essential for decreasing swelling and improving comfort in the early stages of a fracture. D. Right lateral with a pillow between the legs: The right lateral position places pressure on the injured leg and may worsen pain and swelling. Even with a pillow between the legs, this posture is not therapeutic for edema control or comfort following a tibia-fibula fracture.

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