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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Bradypnea: Hypoxia typically leads to tachypnea as the body attempts to increase oxygen intake.
B. Pallor: While it can be a sign of poor perfusion, cyanosis is more closely associated with hypoxia.
C. Cyanosis: A late sign of severe hypoxia, indicating a lack of oxygen in the tissues.
D. Bradycardia: Hypoxia usually stimulates tachycardia as the body tries to compensate.

A. took five quick "huffs" and then coughed vigorously B. exhaled deeply and then inhaled quickly and forcefully three times C. took five deep breaths slowly every 4 hours D. took 10 slow, deep breaths every hour

Correct Answer is D

Explanation

A) Took five quick "huffs" and then coughed vigorously. Huff coughing is a technique used to clear secretions, but it is not the correct method for using an incentive spirometer.
B) Exhaled deeply and then inhaled quickly and forcefully three times. Rapid inhalation and exhalation do not promote effective lung expansion or alveolar recruitment.
C) Took five deep breaths slowly every 4 hours. This frequency is insufficient to prevent atelectasis and postoperative lung complications.
D) Took 10 slow, deep breaths every hour. Taking 10 slow, deep breaths every hour encourages full lung expansion and prevents complications such as atelectasis.

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A nurse is caring for a client who is experiencing respiratory distress. Which of the following positions should the nurse assist the client into?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has a respiratory disorder and displays manifestations of hypoxia. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient:

Correct Answer is D

Explanation

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