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 C
Explanation
A. Having the client lay flat for 4 hours is appropriate. After coronary angiography, bed rest is required to prevent bleeding from the arterial puncture site, especially if a femoral approach was used.
B. Monitoring the site for bleeding and hematoma formation is correct. Bleeding is a potential complication, and frequent assessment of the catheter insertion site is necessary.
C. Administering metformin should be questioned. Metformin is contraindicated within 48 hours of receiving contrast dye because of the risk of lactic acidosis, especially in clients with impaired renal function.
D. Administering aspirin is appropriate. Aspirin is commonly prescribed to prevent clot formation after a coronary procedure.
Correct Answer is A
Explanation
A. Atherosclerosis is correct. It is the primary cause of myocardial infarction (MI) due to the narrowing and eventual blockage of coronary arteries by plaque buildup, leading to reduced oxygen supply to the heart muscle.
B. Obesity is a risk factor for MI but is not the direct cause. It contributes to conditions like hypertension, diabetes, and atherosclerosis, which increase MI risk.
C. Hypertension increases the risk of MI by damaging blood vessels over time, but it is not the most common direct cause.
D. Diabetes Mellitus type 2 is a risk factor because it contributes to vascular damage and atherosclerosis, but it is not the primary cause of an MI.
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