The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

sitting upright and forward with arms supported on an over the bed table

semi-Fowler's position with a single pillow behind the head

high Fowler's position without a pillow behind the head

right lateral with the head of the bed elevated 45 degrees.

Answer and Explanation

The Correct Answer is A

A. Sitting upright and forward with arms supported on an over-the-bed table: This tripod position allows for maximum lung expansion by reducing pressure on the diaphragm and improving airflow, especially for patients with chronic obstructive pulmonary disease (COPD).
B. Semi-Fowler's position with a single pillow behind the head: This position does not optimize lung expansion as well as the tripod position.
C. High Fowler's position without a pillow behind the head: Although better than lying flat, this position lacks arm support, which helps in leveraging accessory muscles for breathing.
D. Right lateral with the head of the bed elevated 45 degrees: This position is not beneficial for promoting effective lung expansion in patients with emphysema.

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Correct Answer is B

Explanation

A) Sternum. Percussion over the sternum is ineffective and may cause discomfort.
B) Thorax. Percussion on the thorax helps loosen mucus in the underlying lung fields.
C) Midaxillary line on the rib cage. This area is not typically targeted for percussion.
D) Spine between the scapulae. Percussion on the spine is not advisable due to the potential for discomfort and ineffectiveness. The area between the scapulae is also less effective for loosening mucus compared to the thorax.

A. Toe B. Skin fold C. Earlobe D. Finger

Correct Answer is C

Explanation

A) Toe. Thickened toenails and edema make this site unreliable for accurate readings.
B) Skin fold. Skin folds are not recommended for pulse oximetry measurements due to poor contact and inconsistent readings.
C) Earlobe. The earlobe is a preferred site in cases of peripheral edema or thickened nails because it has good perfusion and provides reliable readings.
D) Finger. Edema in the hands compromises the accuracy of finger pulse oximetry measurements.

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The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse loosens mucus plugs by using percussion on a patient over the area of the:

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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