The nurse finds a client on bed rest experiencing clear signs of dyspnea. The nurse should assist the client to a:
Trendelenberg position.
side-lying position.
supine position.
semi-Fowler's position.
The Correct Answer is D
Choice A rationale: The Trendelenberg position is not typically used for dyspnea; it involves placing the body in a supine position with the lower half tilted downward. Choice B rationale: The side-lying position is not typically used for dyspnea.
Choice C rationale: The supine position may worsen dyspnea, especially in individuals with respiratory distress.
Choice D rationale: The semi-Fowler's position, with the head of the bed elevated, is often used to assist with breathing and improve oxygenation in clients with dyspnea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: RLQ (Right Lower Quadrant) is the correct abbreviation for the location of the appendix, which is typically found in the right lower quadrant of the abdomen.
Choice B rationale: RUQ (Right Upper Quadrant) is not the location of the appendix.
Choice C rationale: LUQ (Left Upper Quadrant) is not the location of the appendix.
Choice D rationale: LLQ (Left Lower Quadrant) is not the location of the appendix.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale: Instructing the client to shift their weight at least every 15 minutes helps prevent pressure injuries.
Choice B rationale: Keeping the head of the bed raised at 45 degrees at all times is not a typical practice for preventing pressure injuries.
Choice C rationale: Massaging over bony prominences every hour while awake may not be recommended, as this can cause friction and shear, contributing to skin breakdown. Choice D rationale: Applying moisture barrier cream to perineal skin helps protect against skin breakdown from urinary incontinence.
Choice E rationale: Consulting with the wound care nurse about the use of a specialty mattress can provide additional support and help prevent pressure injuries.
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