The nurse knows that which of the following positions is the best position for a client diagnosed with COPD?
Sitting up leaning over the bedside table.
Fowler's position in the bed.
Sitting in a recliner.
Prone in bed.
The Correct Answer is A
A. Sitting up and leaning over the bedside table (tripod position) helps maximize lung expansion, decreases work of breathing, and improves oxygenation in clients with COPD.
B. Fowler's position can help with breathing but does not provide as much relief as the tripod position.
C. A recliner may be comfortable but does not optimize lung expansion like the tripod position.
D. Lying prone is not beneficial for COPD patients and can make breathing more difficult.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Orthopnea is correct. Left-sided heart failure causes pulmonary congestion, making it difficult for the client to breathe when lying flat. This results in orthopnea, where the client must sit up or use multiple pillows to breathe comfortably.
B. Bradycardia is incorrect. Heart failure typically leads to tachycardia due to the heart compensating for decreased cardiac output.
C. Diaphoresis is incorrect. While excessive sweating can occur in acute decompensated heart failure, it is not a hallmark symptom of left-sided heart failure.
D. Frequent coughing with yellow sputum is incorrect. A client with left-sided heart failure may have a dry or frothy, pink-tinged cough, but yellow sputum suggests infection rather than heart failure.
Correct Answer is C
Explanation
A. Annual Influenza immunization is important for individuals with chronic bronchitis but does not directly prevent the disorder from occurring. It helps reduce respiratory infections, which can exacerbate symptoms.
B. Regular moderate exercise improves overall lung function but does not specifically prevent chronic bronchitis.
C. Smoking cessation is the most effective measure in preventing chronic bronchitis. Chronic bronchitis is strongly linked to long-term cigarette smoking, which causes inflammation and excessive mucus production in the airways.
D. Maintenance of ideal weight supports overall health but is not a primary factor in preventing chronic bronchitis.
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