The nurse finds a client on bed rest experiencing clear signs of dyspnea. The nurse should assist the client to a:

Trendelenberg position.

side-lying position.

supine position.

semi-Fowler's position.

Answer and Explanation

The Correct Answer is D

Choice A rationale: The Trendelenberg position is not typically used for dyspnea; it involves placing the body in a supine position with the lower half tilted downward. Choice B rationale: The side-lying position is not typically used for dyspnea.

Choice C rationale: The supine position may worsen dyspnea, especially in individuals with respiratory distress.

Choice D rationale: The semi-Fowler's position, with the head of the bed elevated, is often used to assist with breathing and improve oxygenation in clients with dyspnea.

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Correct Answer is B

Explanation

Choice A rationale: Reading previous documentation provides historical information but may not reflect the current level of dyspnea.

Choice B rationale: Observing the client at rest and during activity is the best way to assess the current level of dyspnea.

Choice C rationale: Asking if shortness of breath is being experienced provides subjective information but may not be as reliable as direct observation.

Choice D rationale: Auscultating lung sounds is important for assessing respiratory function but may not provide a comprehensive picture of dyspnea.

A. Maintaining continuous oxygen therapy B. Maintaining a consistent air temperature in the client's room C. Keeping the client in a supine position as much a possible D. Assisting the client to maintain an adequate fluid intake

Correct Answer is D

Explanation

Choice A rationale: Maintaining continuous oxygen therapy does not directly address the thinning of respiratory secretions.

Choice B rationale: Maintaining a consistent air temperature in the client's room is not directly related to thinning respiratory secretions.

Choice C rationale: Keeping the client in a supine position as much as possible is not the most helpful action for thinning respiratory secretions.

Choice D rationale: Assisting the client to maintain an adequate fluid intake is the most helpful action in thinning respiratory secretions, promoting hydration and mobilization of secretions.

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The nurse finds a client on bed rest experiencing clear signs of dyspnea. The nurse should assist the client to a:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The best way for the nurse to assess a client's level of dyspnea is to:

Correct Answer is B

Explanation

Which nursing action is most helpful in thinning a client's thick respiratory secretions?

Correct Answer is D

Explanation

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