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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A. While increasing caloric intake is important, the primary reason for small, frequent meals is to prevent dyspnea.
B. Social interaction is beneficial, but it is not the main reason for recommending small, frequent meals.
C. Ensuring a balanced diet is important, but not the specific reason for this recommendation.
D. Eating large meals can cause abdominal distention and pressure on the diaphragm, leading to dyspnea. Small, frequent meals help prevent this.
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