A nurse is caring for a client who is experiencing respiratory distress. Which of the following positions should the nurse assist the client into?
Trendelenburg
Tripod
Supine
Low-Fowler's Position
The Correct Answer is B
A) Trendelenburg. This position involves tilting the patient with the head lower than the body and can worsen respiratory distress.
B) Tripod. The tripod position maximizes lung expansion by allowing the diaphragm to move freely, improving oxygenation.
C) Supine. The supine position can impair lung expansion and worsen respiratory distress.
D) Low-Fowler's Position. This position may provide minimal respiratory relief but is not as effective as the tripod position.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Take a good nap: While rest is important, shallow breathing and irritability may indicate inadequate ventilation, which won't improve solely with sleep.
B. Turn, cough, and deep breathe: This helps open the airways, promotes alveolar expansion, and clears secretions, which may improve oxygenation and reduce restlessness.
C. Submit to a back rub: Although comforting, it does not directly address shallow breathing or improve oxygenation.
D. Take some pain medication: Pain control can be essential, but this action is premature without assessing whether pain is the cause of shallow breathing.
Correct Answer is D
Explanation
A. Increased secretion production: Older adults often experience decreased secretion clearance rather than increased production.
B. Thinning of the alveolar membrane: Alveolar membranes tend to thicken, reducing efficient gas exchange.
C. Increased efficiency of the immune system: Aging typically causes immune function to decline, increasing susceptibility to infections.
D. Decreased elasticity of the respiratory tissues: Loss of elasticity reduces lung compliance, leading to diminished respiratory efficiency.
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