The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

sitting upright and forward with arms supported on an over the bed table

semi-Fowler's position with a single pillow behind the head

high Fowler's position without a pillow behind the head

right lateral with the head of the bed elevated 45 degrees.

Answer and Explanation

The Correct Answer is A

A. Sitting upright and forward with arms supported on an over-the-bed table: This tripod position allows for maximum lung expansion by reducing pressure on the diaphragm and improving airflow, especially for patients with chronic obstructive pulmonary disease (COPD).
B. Semi-Fowler's position with a single pillow behind the head: This position does not optimize lung expansion as well as the tripod position.
C. High Fowler's position without a pillow behind the head: Although better than lying flat, this position lacks arm support, which helps in leveraging accessory muscles for breathing.
D. Right lateral with the head of the bed elevated 45 degrees: This position is not beneficial for promoting effective lung expansion in patients with emphysema.

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Correct Answer is D

Explanation

A. Pleural friction rub: An adventitious sound that occurs due to inflamed pleural surfaces rubbing against each other during respiration.
B. Rhonchi: A low-pitched, continuous adventitious lung sound typically caused by airway obstruction or secretions.
C. Stridor: A high-pitched adventitious sound caused by upper airway obstruction.
D. Vesicular: A normal breath sound heard over most of the lung fields, characterized by a soft, low-pitched rustling sound.

A. examining the character of the sputum B. monitoring the rate of respirations. C. auscultating the breath sounds D. determining the last time the patient was suctioned

Correct Answer is C

Explanation

A. Examining the character of the sputum: While monitoring secretions is important, it does not necessarily indicate the need for immediate suctioning.
B. Monitoring the rate of respirations: An increased respiratory rate can indicate distress but is not a definitive cue for suctioning.
C. Auscultating the breath sounds: This helps identify the presence of secretions or airway obstruction and is a primary indicator for suctioning.
D. Determining the last time the patient was suctioned: Suctioning should be based on clinical need rather than a routine schedule.

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The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is not considered an adventitious lung sound upon auscultation:

Correct Answer is D

Explanation

A nurse caring for a patient with a tracheostomy should determine whether the patient needs suctioning by:

Correct Answer is C

Explanation

A nurse is collecting data from a client who has a respiratory disorder and displays manifestations of hypoxia. Which of the following findings should the nurse expect?

A nurse caring for a patient with a water seal type chest drainage that is on low suction assesses that there is constant bubbling in the suction container. The nurse should:

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A provider is discharging a client with a prescription for home oxygen therapy. The nurse should reinforce which of the following instructions with the client and his family? (Select all that apply.)

A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?

The nurse takes into consideration that while caring for a patient on oxygen therapy, safety precautions should be observed, which include:

A nurse is nasopharyngeal suctioning an adult patient to remove thick secretions. The nurse will:

Your patient is breathing shallowly and seems irritable and restless. A nursing action that might help is to have him: