When performing postural drainage on a client with chronic obstructive pulmonary disease (COPD), which approach should the nurse use?

Perform the drainage immediately after meals.

Explain that the client may be placed in five positions.

C. Instruct the client to breathe shallow and fast.

Answer and Explanation

The Correct Answer is B

B. Postural drainage involves placing the client in various positions to help drain secretions from different lobes of the lungs. There are typically five standard positions: head-down, head-up, on the side with the affected lung uppermost, on the side with the affected lung lowermost, and lying prone.

A. Performing postural drainage immediately after meals is not recommended because it can increase the risk of vomiting or aspiration, especially in individuals with chronic obstructive pulmonary disease (COPD) who may already have compromised lung function.

C. In postural drainage, the client is typically instructed to breathe deeply and slowly to maximize the effectiveness of the technique.

D. While ABGs may be necessary for monitoring respiratory status in clients with COPD, they are not specifically required prior to performing postural drainage.

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Correct Answer is C

Explanation

C. This technique, known as pursed lip breathing, can help improve gas exchange by slowing down the respiratory rate, promoting more efficient exhalation, and reducing air trapping in the lungs.

A. While raising the hands above the head can help expand the chest and improve lung expansion to some extent, it may not be as effective as pursed lip breathing in improving gas exchange or alleviating dyspnea.

B. Increasing the breathing rate for a full 30 seconds may not be beneficial and could potentially worsen dyspnea, especially in individuals with emphysema or other respiratory conditions.

D. While changing positions and focusing on diaphragmatic breathing can be helpful techniques in managing dyspnea, lying down on each side with knees bent may not be practical for a client who is ambulatory and experiencing mild dyspnea after ambulation.

To assess the quality of an adult client's pain, which approach should the nurse use?

A. Topical analgesics. B. Topical corticosteroids. C. Topical antifungal. D. Colloidal oatmeal-based lotion.

Correct Answer is B

Explanation

B. Topical corticosteroids are commonly used in the treatment of psoriasis to reduce inflammation, itching, and scaling. They can help alleviate the symptoms described by the client, such as burning and bleeding of the affected areas.

A. While topical analgesics can provide pain relief, they do not directly address the underlying cause of psoriasis or reduce inflammation and scaling.

C. Topical antifungal agents are used to treat fungal infections of the skin, such as ringworm or athlete's foot. Psoriasis is not caused by a fungal infection.

D. Colloidal oatmeal-based lotions can help soothe and moisturize dry, irritated skin. While they may provide some relief of symptoms associated with psoriasis, such as itching and burning, they do not directly address inflammation or scaling.

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When performing postural drainage on a client with chronic obstructive pulmonary disease (COPD), which approach should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with emphysema who is mildly dyspneic after ambulation. Which instruction should the nurse provide to the client to improve gas exchange?

Correct Answer is C

Explanation

A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription should the nurse teach the client to use for the skin condition?

Correct Answer is B

Explanation

Patient Data Exhibits According to the client's vital signs, he is experiencing dropdown and dropdown

A client receives a prescription for vancomycin 500 mg IV every 8 hours. The medication is provided in "500 mg per 100 mL of dextrose 5% in water." To administer the medication over an hour, the nurse should set the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

A client receives a prescription for ophthalmic ketorolac, Prior to administering the medication, the nurse should review the medical record for which condition?

A client diagnosed with chronic obstructive pulmonary disease (COPD) is given a new prescription for tiotropium via an inhalation device. Which statement indicates that the client understands the instructions for using this medication?

The client with Clostridium difficile in the stool receives a prescription for vancomycin PO. Which action should the nurse take before administering the first dose?