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. The client is grasping his abdomen: Grasping the abdomen may indicate pain or cramping, not necessarily airway obstruction.
B. The client is coughing: Effective coughing suggests that the airway is partially open and the client is moving air, meaning abdominal thrusts are not required.
C. The client cannot speak: Inability to speak or cough is a sign of complete airway obstruction, indicating the need for abdominal thrusts.
D. The client is hyperventilating: Rapid breathing is not a typical sign of choking and does not warrant abdominal thrusts.

A. more than 250 mL of air moves in and out of the lungs with each breath B. foreign substances are propelled by the cilia toward the respiratory tract C. dehumidified air enters the upper airway passages D. the blood transports carbon dioxide to the lungs

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a long-term care facility sees a client who is choking. Which of the following data should the nurse identify as requiring an abdominal thrust?

Correct Answer is C

Explanation

The nurse clarifies that the cough mechanism is stimulated when:

Correct Answer is B

Explanation

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