A client in bed is experiencing severe shortness of breath. What position should the nurse place the client in?
Supine position
Prone position
Fowler’s position
Trendelenburg position
The Correct Answer is C
Choice C rationale
Placing the client in Fowler's position (semi-upright position) facilitates optimal chest expansion and improves ventilation by allowing the diaphragm to move more effectively and reducing the pressure on the lungs from abdominal contents. This position helps in maximizing oxygenation and reducing respiratory distress. The other positions—supine, prone, and Trendelenburg—do not offer the same level of chest expansion and can exacerbate breathing difficulties.
The correct answer is to place the client in a position that allows for maximum chest expansion and oxygenation. This is often the upright or Fowler’s position.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Bulging skin around the stoma can be a sign of a hernia, but it’s not uncommon in the early postoperative period. It should be monitored, but it’s not typically a cause for immediate concern.
Choice B rationale
A stoma that protrudes 2 cm (0.8 in) above the abdominal wall is considered normal. The stoma should protrude above the skin to prevent stool from coming into contact with the skin, which can cause irritation and breakdown.
Choice C rationale
A stoma that is moist and beefy red is a sign of a healthy stoma. This indicates that the stoma has a good blood supply and is not ischemic or necrotic.
Choice D rationale
No fecal output from the stoma 24 hours after surgery could indicate a blockage or other complication and should be reported to the provider immediately.
Correct Answer is B
Explanation
Choice A rationale
Applying mystatin cream to the blistered areas is not typically recommended for herpes zoster lesions. Mystatin is an antifungal medication, and herpes zoster is caused by a virus, not a fungus.
Choice B rationale
Implementing contact precautions is recommended for patients with widespread herpes zoster lesions. This helps to prevent the spread of the virus to other people.
Choice C rationale
Using warm compresses on the crusted lesions is not typically recommended. While warm compresses can help with some skin conditions, they are not usually part of the care plan for herpes zoster.
Choice D rationale
Administering the shingles vaccine is not typically done once a patient already has widespread herpes zoster lesions. The vaccine is used to prevent shingles, not to treat active cases.
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