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 A

Explanation

A. While oats themselves do not contain gluten, they are often processed in facilities that also handle wheat, which can lead to cross-contamination.

B. Corn chips are typically safe options for a gluten-free diet.

C. Fried rice are typically safe options for a gluten-free diet.

D. Potatoes (D) are typically safe options for a gluten-free diet.

A. Apply a hydrocolloidal gel dressing. B. Replace the gauze with a transparent dressing. C. Leave the dressing off until consulting with the healthcare provider. D. Increase the frequency of the dressing changes.

Correct Answer is A

Explanation

A. A hydrocolloidal gel dressing can be beneficial as it maintains moisture and supports autolytic debridement. This type of dressing also helps in protecting the wound from external contaminants and can be left in place for several days, depending on the level of exudate.

B. Replacing the gauze with a transparent dressing, which is typically used for minimal to moderate exudating wounds, could dry out the wound or those that are not designed for significant granulation tissue

C. Leaving the dressing off is not advisable as it exposes the wound to potential infection and delays healing.

D. Increasing the frequency of dressing changes is not specified as a standard treatment and could potentially disrupt the healing process.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discussing dietary choices with a client who is newly diagnosed with celiac disease. Which menu choice by the client indicates a need for further teaching?

Correct Answer is A

Explanation

The nurse is performing a routine dressing change for a client with a stage 3 pressure injury that is red with significant granulation. The wound has a gauze dressing covering the area. Which action should the nurse implement?

Correct Answer is A

Explanation

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