The nurse is giving a client with chronic obstructive pulmonary disease (COPD) information related to positions used to breathe more easily. The nurse teaches the client to assume which position?

Lie on the side with the head of the bed at 30 degrees

Sit on the edge of the bed with the arms supported

Lay in a supine position in bed with arms crossed

Sleep in a prone position with legs elevated

Answer and Explanation

The Correct Answer is B

Choice A reason: Lying on the side with the head of the bed at 30 degrees may provide some comfort but is not the most effective position for easing breathing in COPD patients. Sitting upright allows for better lung expansion.

Choice B reason: Sitting on the edge of the bed with the arms supported is known as the tripod position. This position helps patients with COPD breathe more easily by allowing the diaphragm to move more freely and reducing the work of breathing.

Choice C reason: Laying in a supine position with arms crossed is not beneficial for COPD patients. This position can restrict lung expansion and make breathing more difficult.

Choice D reason: Sleeping in a prone position with legs elevated is not recommended for COPD patients. It can further restrict breathing and is uncomfortable for patients with respiratory issues.

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Correct Answer is C

Explanation

Choice A reason: The statement "Use of eye drops will improve vision over time" is incorrect. Eye drops for glaucoma help to manage intraocular pressure but do not typically improve vision. They are used to prevent further vision loss.

Choice B reason: The statement "Double vision is a common symptom of glaucoma" is incorrect. Double vision is not a typical symptom of glaucoma. Glaucoma primarily affects peripheral vision.

Choice C reason: The statement "Without treatment, glaucoma can cause blindness" is accurate. Glaucoma is a leading cause of blindness if not treated properly. Managing intraocular pressure is crucial to prevent damage to the optic nerve.

Choice D reason: The statement "Glaucoma is caused by inadequate production of fluid within the eye" is incorrect. Glaucoma is usually caused by increased intraocular pressure due to inadequate drainage of the aqueous humor within the eye.

A. Hyperkalemia. B. Increased glomerular filtration rate (GFR). C. Decreased creatinine level. D. Hypovolemia.

Correct Answer is A

Explanation

Choice A reason: Hyperkalemia is a common finding in the oliguric phase of acute kidney injury due to reduced excretion of potassium by the kidneys. This electrolyte imbalance can have serious cardiac effects and should be expected and monitored in these patients.

Choice B reason: An increased glomerular filtration rate (GFR) would not be expected in the oliguric phase of acute kidney injury. Typically, GFR is decreased due to reduced kidney function during this phase.

Choice C reason: Decreased creatinine levels are not expected in acute kidney injury. Creatinine levels usually increase as kidney function declines and the body cannot adequately filter waste.

Choice D reason: Hypovolemia is not typically expected in the oliguric phase of acute kidney injury, as oliguria (reduced urine output) often indicates fluid retention rather than fluid loss.

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The nurse is giving a client with chronic obstructive pulmonary disease (COPD) information related to positions used to breathe more easily. The nurse teaches the client to assume which position?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education for a client who has glaucoma. Which statement should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse in the med-surgical ICU is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful to monitor?

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A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful to monitor?

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