When assessing an older patient with chronic obstructive lung disease (COPD) the nurse sees calluses on both of the patient's elbows. What does this finding indicate to the nurse?
1. The patient lifts weights.
2. Use of the tripod position.
3. An allergy to a medication.
4. The patient falls frequently.
2
Rationale: Older patients with COPD often have calluses on their elbows as a result of leaning over tables to stretch out their torsos so that more air can enter and exit during respiration. It is often referred to as the "tripod" position. This does not mean that the patient lifts weights.
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