A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make?

"Have your head turned to the side while you lie on your stomach."

"Lie on your back with your head and shoulders supported by a pillow."

"Have a table beside your bed so you can sit on the side of the bed and rest your arms on the table."

"Lie on your side with your top arm resting on the bed and your weight on your hip."

Answer and Explanation

The Correct Answer is C

A. "Have your head turned to the side while you lie on your stomach.": This is the prone position, which can worsen breathing in COPD clients.
B. "Lie on your back with your head and shoulders supported by a pillow.": This is the supine or semi-Fowler’s position, which may not optimize lung expansion.
C. "Have a table beside your bed so you can sit on the side of the bed and rest your arms on the table.": This is the orthopneic or tripod position, which facilitates diaphragmatic expansion and improves breathing in clients with COPD.
D. "Lie on your side with your top arm resting on the bed and your weight on your hip.": This is a lateral position, which doesn't significantly aid breathing in COPD.

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Correct Answer is D

Explanation

A. Inadequate staffing ratio between clients and health care providers: Restraints should never be used for staff convenience or due to understaffing.
B. Discipline for throwing chairs at staff: Restraints must not be used for punishment.
C. Refusal to take medication: This does not justify restraints unless the client is a danger to themselves or others.
D. Continued self-destructive behavior: Restraints may be used when there is a risk of self-harm and other alternatives have failed, following institutional protocols and provider orders.

A. "My husband refuses to use a previously owned car seat unless it has the instructions." B. "We will need to go by the weight and height of our child when deciding to change to a booster seat." C. "I will place the infant safety seat in the middle of the back seat, away from the windows." D. "My baby will be comforted in the back seat by being able to watch me while I drive."

Correct Answer is D

Explanation

A. "My husband refuses to use a previously owned car seat unless it has the instructions.": Correct practice. Car seats should not be used without proper manufacturer instructions.
B. "We will need to go by the weight and height of our child when deciding to change to a booster seat.": Car seat transitions are based on the child’s weight and height, not age alone.
C. "I will place the infant safety seat in the middle of the back seat, away from the windows.": This is the safest position in the vehicle.
D. "My baby will be comforted in the back seat by being able to watch me while I drive.": This implies the baby is forward-facing, which is unsafe for infants. Infants should be in a rear-facing car seat until they meet the manufacturer’s limits.

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A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

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