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
Explanation
A. More than 250 mL of air moves in and out of the lungs with each breath: This describes tidal volume but does not directly stimulate the cough mechanism.
B. Foreign substances are propelled by the cilia toward the respiratory tract: Irritation by foreign particles stimulates the cough reflex to clear the airways.
C. Dehumidified air enters the upper airway passages: Dry air can cause airway irritation but does not consistently trigger a cough reflex.
D. The blood transports carbon dioxide to the lungs: This describes gas exchange, which does not directly relate to triggering the cough mechanism.
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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