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 A

Explanation

A) A nonrebreather mask should fit snugly over a client's face. A proper fit ensures effective oxygen delivery and prevents room air from entering the mask.
B) The reservoir bag on a nonrebreather mask should collapse with exhalation. The reservoir bag should not completely collapse. If it does, the oxygen flow may be inadequate.
C) A nonrebreather mask dries a client's mucous membranes. While high-flow oxygen delivery systems can dry mucous membranes, this is not specific to non rebreather masks.
D) Use a non rebreather mask to deliver low-flow oxygen. Non rebreather masks are designed to deliver high concentrations of oxygen (typically 60% to 100%).

A. "Repeat your breathing exercise every 2 hrs." B. "Inhale through your mouth." C. "Hold your breath for 5 seconds." D. "Exhale through your nose."

Correct Answer is C

Explanation

A) "Repeat your breathing exercise every 2 hrs." Repeating breathing exercises should be done a couple of times every hour to help prevent postoperative complications such as atelectasis and pneumonia.
B) "Inhale through your mouth." Clients should inhale through their nose to filter, warm, and humidify the air.
C) "Hold your breath for 5 seconds." Holding the breath for 5 seconds allows for better lung expansion and optimal oxygen exchange.
D) "Exhale through your nose." Clients are generally advised to exhale through pursed lips to create positive airway pressure and prevent airway collapse.

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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

A nurse is reinforcing teaching with a newly licensed nurse about a nonrebreather mask. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

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