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
Elevating the head of the bed 45 degrees before starting the CPM device is not necessary. The position of the bed does not affect the operation of the CPM device.
Choice B rationale
Instructing the patient to increase the degree of flexion as tolerated is not the nurse’s responsibility. The degree of flexion is usually set by the healthcare provider or physical therapist.
Choice C rationale
Ensuring the frame joint is in a flexed position before placing the leg onto the device is not necessary. The CPM device should be set up according to the manufacturer’s instructions and the healthcare provider’s orders.
Choice D rationale
Ensuring the knee joint is positioned over the CPM device frame joint is crucial. Proper alignment of the patient’s knee joint with the CPM device’s joint ensures effective and safe operation of the device.
Correct Answer is D
Explanation
Choice A rationale
The statement “Stop taking the medication if you feel drowsy” is incorrect. Drowsiness is not a common side effect of levothyroxine, and stopping the medication abruptly can lead to withdrawal symptoms and a rebound of hypothyroid symptoms.
Choice B rationale
The statement “Expect to take this medication for 4 to 6 weeks” is incorrect. Levothyroxine is typically a lifelong therapy for individuals with hypothyroidism, not a short-term treatment.
Choice C rationale
The statement “This medication may cause permanent hair loss” is incorrect. While hair loss can be a side effect of levothyroxine, it is usually temporary and resolves as the body adjusts to the medication.
Choice D rationale
Weighing oneself at the same time every day is a good practice when taking levothyroxine. This can help monitor for changes in weight, which could indicate that the dose of levothyroxine needs adjustment.
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