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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. "I will make sure that my partner takes all the prescribed medication.": This is the correct answer. Expedited partner therapy involves treating the partner(s) without an initial clinical visit, so ensuring they take all prescribed medications is essential to prevent reinfection.

B. "I will have my partner take the antibiotics if any STI symptoms occur.": This is incorrect because the partner should take the antibiotics regardless of symptoms to effectively treat the infection.

C. "I will have my partner use a condom until I finish the antibiotics.": While condom use is important, it does not replace the need for the partner to receive treatment.

D. "I will tell my partner that it is important to be examined at the clinic.": Although important, expedited partner therapy aims to provide treatment without a clinic visit.

A. Treat any coexisting chlamydial infection. B. Eradicate any resistant strains of N. gonorrhoeae. C. Prevent reinfection during treatment. D. Prevent the development of resistant organisms.

Correct Answer is A

Explanation

A. Gonorrhea and chlamydia often coexist in individuals, and doxycycline is prescribed to treat chlamydia in addition to ceftriaxone for gonorrhea. Treating both infections is crucial to reduce the risk of complications and reinfection.

B. While ceftriaxone is effective against N. gonorrhoeae, doxycycline is used to treat chlamydia, not to eradicate resistant strains of gonorrhea.

C. Reinfection during treatment can be minimized with both medications, but the primary purpose of doxycycline is to treat a possible co-infection with chlamydia.

D. This combination therapy does not primarily aim to prevent the development of resistant organisms but to treat both infections effectively.

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A client with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would support the client's ventilation?

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Naxlex Comprehensive Predictor Exams

After the nurse has taught the client with a newly diagnosed sexually transmitted infection about expedited partner therapy, which client statement indicates that teaching has been effective?

Correct Answer is A

Explanation

A client with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin) and is given a prescription for doxycycline 100mg BID for 7 days, The nurse explains to the client that this combination is prescribed to

Correct Answer is A

Explanation

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