The nurse is teaching a client with chronic airflow limitation (CAL) about positions that help breathing during dyspneic episodes
Which position, assumed by the client, would indicate that the client needs additional teaching regarding positioning? 1. Sitting up and leaning on a table
2. Standing and leaning against a wall
3. Sitting up with elbows resting on knees
4. Lying on his or her back in a low Fowler's position
4
Rationale: The client should use the positions outlined in "sitting up and leaning on a table," "standing and leaning against a wall," and "sitting up with elbows resting on knees." These allow for maximal chest expansion and decreased use of accessory muscles of respiration. The client should not lie on his or her back because it reduces movement of a large area of the client's chest wall. Sitting is better than standing, whenever possible. If no chair is available, then leaning against a wall while standing allows accessory muscles to be used for breathing rather than posture control.
You might also like to view...
While suctioning an intubated and ventilated patient, the nurse notes that the ventilator alarm is malfunctioning. The proper action would be to
A) reset the ventilator alarm and monitor it closely for the next few hours. B) notify the physician of the problem. C) replace the ventilator with another for the patient and report the occurrence to the designated hospital department. D) report the occurrence to the FDA.
When gathering assessment data about the client's skin, the nurse should ask the client about which subjective data?
1. "How much time do you spend in the sun?" 2. "May I palpate your skin?" 3. "Is there a history of arthritis in your family?" 4. "Do you experience thirst?"
The client tells the nurse, "My healthcare provider says I have atrial fibrillation. Is this serious and how is it treated?" Which responses should the nurse provide the client?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "This condition is best treated with what we call antidysrhythmic drugs." B. "This is very common; your doctor will discuss the best treatment with you." C. "Depending on your symptoms, your healthcare provider may use an electrical shock." D. "This is quite serious; did your healthcare provider discuss a heart transplant?" E. "It is very serious, even more serious than a ventricular dysrhythmia."
A client is going to receive instruction in biofeedback technique to lower his stress level. The client asks the nurse to describe this technique. What should the nurse tell the client?
A. It is a technique that trains the mind to elicit a relaxation response B. It is the purposeful use of one's imagination to achieve relaxation and control C. It involves learning to contract and relax muscles in a systematic way and may be combined with breathing exercises D. It is a therapeutic modality that enables an individual to monitor skin temperature, muscle activity, heart rate, blood pressure, and other bodily functions, then learn to control these physiologic responses to stressful or challenging events