The nurse knows that which of the following positions is the best position for a client diagnosed with COPD?

Sitting up leaning over the bedside table.

Fowler's position in the bed.

Sitting in a recliner.

Prone in bed.

Answer and Explanation

The Correct Answer is A

A. Sitting up and leaning over the bedside table (tripod position) helps maximize lung expansion, decreases work of breathing, and improves oxygenation in clients with COPD.
B. Fowler's position can help with breathing but does not provide as much relief as the tripod position.
C. A recliner may be comfortable but does not optimize lung expansion like the tripod position.
D. Lying prone is not beneficial for COPD patients and can make breathing more difficult.

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Correct Answer is D

Explanation

A. Taking 4 nitroglycerin tablets is incorrect. The maximum dose is 3 tablets, taken 5 minutes apart. If chest pain persists after the third dose, the client should seek emergency help.
B. Calling 911 after only one dose is incorrect. The correct protocol is to take up to three doses before seeking emergency assistance unless symptoms worsen rapidly.
C. Calling 911 immediately before taking nitroglycerin is incorrect. The client should attempt to relieve the chest pain with nitroglycerin before calling for emergency help.
D. Calling 911 if pain persists after taking 3 nitroglycerin tablets 5 minutes apart is correct. Persistent chest pain despite nitroglycerin use suggests a possible myocardial infarction (MI), requiring immediate medical intervention.

A. Obtain a STAT electrocardiogram B. Have the client sit down immediately C. Assess the client's vital signs D. Administer sublingual nitroglycerin

Correct Answer is B

Explanation

A. Obtaining an ECG is important but not the first action. The priority is to stop activity, as exertion can worsen myocardial oxygen demand.
B. Having the client sit down immediately is correct. Stopping activity reduces cardiac workload and oxygen demand, preventing further ischemia or infarction.
C. Assessing vital signs is important but should follow stopping activity. Chest pain requires immediate action to reduce cardiac strain.
D. Administering sublingual nitroglycerin is appropriate but should be done after ensuring the client is seated. This prevents hypotension and syncope from occurring while standing.

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The nurse knows that which of the following positions is the best position for a client diagnosed with COPD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

The nurse is providing care for a client admitted to rule out a myocardial infarction who is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?

Correct Answer is B

Explanation

A client comes into the emergency room with complaints of persistent, crushing chest pain. Along with the chief complaint, what other symptoms would make the nurse suspect that the client is experiencing a myocardial infarction (MI)?

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The nurse is caring for a client status/post a Myocardial Infarction who is questioning procedures utilized for treatment. Which of the following statements correctly explains a Coronary Artery Bypass Grafting (CABG)?

The nurse is providing care for a client admitted to rule out a myocardial infarction who is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?

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