Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic obstructive pulmonary disease (COPD). Which intervention should the nurse include in the plan of care?

Administer bronchodilator medication before the procedure

Restrict fluid intake before the procedure

Perform deep breathing exercises after the procedure

Place the patient in a supine position during the procedure

Answer and Explanation

The Correct Answer is A

A. Administering a bronchodilator before postural drainage helps open the airways, making it easier to mobilize and clear secretions during the procedure. This improves the effectiveness of the therapy.

B. Restricting fluid intake before the procedure is not appropriate. Adequate hydration is essential to thin secretions, making them easier to clear during postural drainage.

C. While deep breathing exercises are beneficial for lung expansion and oxygenation, they are not specifically required immediately after postural drainage. The focus is on clearing secretions during the procedure.

D. The supine position is not ideal for postural drainage. The client should be placed in specific positions depending on the lung segment being targeted, such as Trendelenburg or lateral decubitus positions, to facilitate drainage by gravity.

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Correct Answer is ["0.8"]

Explanation

· Set up a proportion: (Desired dose) / (Available concentration) = (Amount to administer)

· Plug in the values: (3,800 units) / (5,000 units/mL) = X mL

· Solve for X: X = 3,800 / 5,000 X = 0.76 mL

· Round to the nearest tenth: X = 0.8 mL

A. Obtain an arterial blood gas and order a portable chest x-ray. B. Instruct the UAP to keep the client on strict bed rest. C. Assess the client for dyspnea and altered mental status. D. Contact the healthcare provider for a ventilation and perfusion scan.

Correct Answer is C

Explanation

A. Obtaining an arterial blood gas and ordering a chest x-ray may be necessary to evaluate the client further, but the nurse must first assess the client to determine the presence of clinical signs of fat embolism syndrome (FES), such as respiratory distress or neurological changes.

B. Keeping the client on strict bed rest may help reduce the risk of further complications, but it is not the first priority. Immediate assessment of the client’s condition is necessary to identify signs of fat embolism syndrome.

C. Assessing the client for dyspnea and altered mental status is the first priority because these symptoms are early indicators of fat embolism syndrome. Early recognition and intervention are critical in preventing further complications.

D. Contacting the healthcare provider for a ventilation and perfusion scan may be appropriate after assessing the client, but it is not the first action. Immediate assessment is essential to determine the urgency of the situation.

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Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic obstructive pulmonary disease (COPD). Which intervention should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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