A client with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would support the client's ventilation?

Encourage the client to sit up at the bedside in a chair and lean forward.

Have the client rest in bed with the head elevated 15 to 20 degrees.

Place the client in the Trendelenburg position with pillows behind the head.

Ask the client to rest in bed in a high- Fowlers position with the knees flexed.

Answer and Explanation

The Correct Answer is A

A. Sitting up and leaning forward helps improve lung expansion and ventilation, which is beneficial for clients with COPD.

B. Elevating the head is helpful but not as effective as sitting upright for COPD clients who need to improve their ventilation.

C. The Trendelenburg position is not appropriate for improving ventilation in COPD patients.

D. While high-Fowler's may help in some situations, having the knees flexed can restrict the diaphragm and limit breathing capacity.

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Correct Answer is D

Explanation

A. Amiodarone is an antiarrhythmic used to treat ventricular arrhythmias like monomorphic VT, but it is not the first-line treatment for a pulseless patient. Defibrillation should be performed immediately, and amiodarone can be administered after defibrillation if the rhythm persists.

B. CPR is essential for maintaining circulation in a pulseless patient, but defibrillation should be the first priority for monomorphic VT. CPR should be continued if defibrillation is not immediately available, but the most effective intervention is defibrillation to attempt to restore normal rhythm.

C. Cardioversion is used for stable, regular arrhythmias, but for a pulseless client in monomorphic VT, defibrillation is the appropriate first intervention. Cardioversion is typically used when the patient is conscious or stable and is not a priority for pulseless VT.

D. For a pulseless client with monomorphic ventricular tachycardia, defibrillation is the priority intervention. Defibrillation delivers an electric shock to the heart, which may terminate the abnormal rhythm and allow the heart to return to normal sinus rhythm. This is the most effective and immediate treatment for a pulseless client in ventricular tachycardia.

A. Client reports a pain level of 3/10. B. Left groin has minimal bruising. C. Left leg with weakened pedal pulse and is cool to the touch. D. Blood pressure 154/78 mmHg.

Correct Answer is C

Explanation

A. A mild pain level of 3/10 is common after angioplasty and is not immediately concerning.

B. Minimal bruising at the groin is expected after this procedure and is not alarming.

C. A weakened pedal pulse and a cool leg could indicate compromised circulation, which is a serious concern post-angioplasty. Immediate assessment is needed to check for possible complications such as re-occlusion.

D. A blood pressure of 154/78 mmHg is somewhat elevated but not alarming.

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A client with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would support the client's ventilation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What would be the priority intervention for the care of the client who is pulseless and has the following rhythm on the monitor?

Correct Answer is D

Explanation

The nurse assesses a client who just returned to the recovery area after undergoing a balloon angioplasty to improve circulation to the left leg. What assessment finding is the most concerning?

Correct Answer is C

Explanation

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