A client with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would support the client's ventilation?
Encourage the client to sit up at the bedside in a chair and lean forward.
Have the client rest in bed with the head elevated 15 to 20 degrees.
Place the client in the Trendelenburg position with pillows behind the head.
Ask the client to rest in bed in a high- Fowlers position with the knees flexed.
The Correct Answer is A
A. Sitting up and leaning forward helps improve lung expansion and ventilation, which is beneficial for clients with COPD.
B. Elevating the head is helpful but not as effective as sitting upright for COPD clients who need to improve their ventilation.
C. The Trendelenburg position is not appropriate for improving ventilation in COPD patients.
D. While high-Fowler's may help in some situations, having the knees flexed can restrict the diaphragm and limit breathing capacity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Bleeding precautions are not required as the issue pertains to neutropenia, not thrombocytopenia.
B. Placing the client in a private room is appropriate as the ANC calculation (WBC × [% neutrophils]) indicates severe neutropenia, increasing the risk of infection.
C. Simply documenting findings does not address the client’s increased infection risk.
D. Blood cultures and antibiotics may be needed later but require additional signs of infection to proceed.
Correct Answer is A
Explanation
A. The best response is to educate the client about the cause of Prinzmetal angina. It occurs due to spasm in the coronary arteries, which is different from the plaque buildup seen in traditional coronary artery disease. This response addresses the client's concern in an accurate and reassuring manner.
B. While healthy eating is important, Prinzmetal angina is not typically caused by cholesterol or plaque buildup. This response could increase the client's anxiety.
C. While acknowledging the client's emotions is important, this response does not address the underlying concern or provide an accurate explanation of Prinzmetal angina.
D. Offering reassurance without providing accurate information about the condition does not help the client understand the cause of their symptoms and could leave them confused or anxious.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.