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A recommended position for a patient in acute pulmonary edema is:

Recovery position, lateral with the upper leg ﬂexed and forward, and the upper hand across the chest with the back of the hand supporting the cheek.

Prone position, to encourage maximum rest, thus decreasing respiratory and cardiac rates.

Sitting up position (45 degrees or greater) to facilitate breathing and decrease venous return.

Trendelenburg position, to drain blood from leg veins into the heart, i.e., the organic ﬂuid bolus.

Answer and Explanation

The Correct Answer is C

Choice A reason: The recovery position is not typically recommended for patients with acute pulmonary edema as it does not facilitate optimal breathing.

Choice B reason: The prone position is not generally recommended for acute pulmonary edema as it may not aid in improving oxygenation or breathing.

Choice C reason: The sitting up position, especially at an angle of 45 degrees or greater, is recommended for patients with acute pulmonary edema as it helps to facilitate breathing and decrease venous return to the heart.

Choice D reason: The Trendelenburg position is not recommended for acute pulmonary edema as it can increase the pressure in the chest and worsen breathing difficulties.

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Correct Answer is D

Explanation

Choice A reason: Muscle dysfunction can be a consequence of COPD due to decreased activity levels, but it is not a risk factor for developing COPD.

Choice B reason: Poor nutrition can aﬀect the overall health of individuals with COPD but is not a direct risk factor for developing the disease.

Choice C reason: Weight loss can occur in advanced stages of COPD due to increased energy expenditure from breathing difficulties, but it is not a risk factor for developing COPD.

Choice D reason: Increased risk for pneumonia is a direct risk associated with COPD, as the disease can compromise the respiratory system's ability to clear infections.

A. Stable ECG rhythm B. Ability to verbalize causes and eﬀects of CHD/CAD C. Adequate relief of pain D. Compliance with prescribed bedrest

Correct Answer is C

Explanation

Choice A reason : While maintaining a stable ECG rhythm is important, it is not the highest priority. The primary concern is to address life-threatening complications.

Choice B reason : Educating the patient about the causes and eﬀects of coronary heart disease (CHD) or coronary artery disease (CAD) is important for long-term management but is not the immediate priority during acute care.

Choice C reason : Adequate relief of pain is the highest priority in the care of a patient with AMI. Pain is an indicator of ongoing ischemia and can increase the workload of the heart, thereby worsening the condition.

Choice D reason (AMI): While bedrest is part of the care plan, it is not the highest priority compared to pain relief, which has direct implications on the patient's immediate physiological status.

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A recommended position for a patient in acute pulmonary edema is:

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