When performing postural drainage on a client with chronic obstructive pulmonary disease (COPD), which approach should the nurse use?

Perform the drainage immediately after meals.

Explain that the client may be placed in five positions.

C. Instruct the client to breathe shallow and fast.

Answer and Explanation

The Correct Answer is B

B. Postural drainage involves placing the client in various positions to help drain secretions from different lobes of the lungs. There are typically five standard positions: head-down, head-up, on the side with the affected lung uppermost, on the side with the affected lung lowermost, and lying prone.

A. Performing postural drainage immediately after meals is not recommended because it can increase the risk of vomiting or aspiration, especially in individuals with chronic obstructive pulmonary disease (COPD) who may already have compromised lung function.

C. In postural drainage, the client is typically instructed to breathe deeply and slowly to maximize the effectiveness of the technique.

D. While ABGs may be necessary for monitoring respiratory status in clients with COPD, they are not specifically required prior to performing postural drainage.

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Correct Answer is ["0.8"]

Explanation

The vial contains 0.3 mg of medication, which has been reconstituted with 2 mL of sterile water. Therefore, each milliliter of solution contains 0.15 mg of medication.

The prescribed dose is 0.125 mg, so the nurse should administer $ \frac{0.125\ mg}{0.15\ mg/mL} = 0.8333 $ mL of the solution.

After rounding to the nearest tenth, the nurse should administer 0.8 mL of the reconstituted solution to the client every other day.

A. Sodium. B. Total protein. C. Hemoglobin. D. Glucose.

Correct Answer is C

Explanation

C. Hemoglobin is a protein in red blood cells that carries oxygen throughout the body. Anemia, characterized by low hemoglobin levels, can lead to symptoms such as fatigue, weakness, and pale appearance. Diclofenac, like other nonsteroidal anti-inflammatory drugs (NSAIDs), can cause gastrointestinal bleeding, which may result in iron deficiency anemia.

A. While abnormality in sodium levels can occur and may contribute to symptoms such as fatigue, pale appearance, and weakness, sodium levels are not typically affected directly by diclofenac use or rheumatoid arthritis.

B. Low total protein levels can contribute to symptoms such as fatigue and weakness. However, total protein levels may not be directly affected by diclofenac use or rheumatoid arthritis.

D. Assessing glucose levels is not be the most relevant laboratory value to review in this situation.

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When performing postural drainage on a client with chronic obstructive pulmonary disease (COPD), which approach should the nurse use?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["0.8"]

Explanation

The nurse is caring for a client who is taking diclofenac for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review?

Correct Answer is C

Explanation

A client who is experiencing respiratory distress is admitted with respiratory acidosis. Which pathophysiological process supports the client's respiratory acidosis?

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