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 B,C,D,G,E,F,A
Explanation
Check the function of the suction catheter: Ensures the catheter is functioning properly before starting the procedure.
Don sterile gloves: Maintains asepsis during the suctioning procedure.
Adjust the suction to 120 to 150 mm Hg: Proper suction pressure prevents mucosal trauma.
Hyperoxygenate the client: Prevents hypoxia during the suctioning process.
Insert the catheter without suction: Prevents trauma to mucosa by reducing suction on insertion.
Apply intermittent suction while rotating the catheter: Effectively clears secretions while minimizing tissue damage.
Check for secretion clearance: Ensures the airway is clear and the procedure was effective.
Correct Answer is A
Explanation
A. Oxygen diffuses across the alveolar membrane into the blood: This is the primary function of the respiratory system, ensuring oxygenation of blood.
B. The alveoli have cilia that help remove foreign particles: Cilia are present in the respiratory tract, but not in the alveoli.
C. The diaphragm controls respiration: The diaphragm assists with breathing but does not "control" respiration, which is regulated by the brainstem.
D. The bronchioles contain macrophages that phagocytize inhaled bacteria: Macrophages are found in alveoli, not the bronchioles.
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