A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make?

"Have your head turned to the side while you lie on your stomach."

"Lie on your back with your head and shoulders supported by a pillow."

"Have a table beside your bed so you can sit on the side of the bed and rest your arms on the table."

"Lie on your side with your top arm resting on the bed and your weight on your hip."

Answer and Explanation

The Correct Answer is C

A. "Have your head turned to the side while you lie on your stomach.": This is the prone position, which can worsen breathing in COPD clients.
B. "Lie on your back with your head and shoulders supported by a pillow.": This is the supine or semi-Fowler’s position, which may not optimize lung expansion.
C. "Have a table beside your bed so you can sit on the side of the bed and rest your arms on the table.": This is the orthopneic or tripod position, which facilitates diaphragmatic expansion and improves breathing in clients with COPD.
D. "Lie on your side with your top arm resting on the bed and your weight on your hip.": This is a lateral position, which doesn't significantly aid breathing in COPD.

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Correct Answer is C

Explanation

A. "The grip should be level with the client's waist.": The cane’s handgrip should be at wrist level when the client’s arm is relaxed.
B. "The client should hold the cane on the weak side of his body.": The cane should be held on the stronger side to support the weaker leg.
C. "When the client moves, he should move the cane forward first.": This allows the cane to support the weight when the weaker leg is advanced.
D. "The client should first move the strong leg, then the weak one.": The weaker leg should move first with the cane, followed by the stronger leg.

A. "I'll carry objects close to my body." B. “I'll do exercises that strengthen my abdominal muscles." C. "When standing for a long period of time. I should keep my feet flat on the floor." D. "I'll wear low-heeled shoes from now on."

Correct Answer is C

Explanation

A. "I'll carry objects close to my body.": Carrying objects close to the center of gravity reduces strain on the back.
B. “I'll do exercises that strengthen my abdominal muscles.": Strong core muscles support the spine and prevent injury.
C. "When standing for a long period of time. I should keep my feet flat on the floor.": This statement indicates a need for further instruction. One foot should be slightly elevated on a footrest or step to reduce lumbar strain.
D. "I'll wear low-heeled shoes from now on.": Low-heeled shoes provide better spinal alignment and reduce back stress.

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A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

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