The nurse places a patient who is experiencing dyspnea in the Fowler's position. What is the rationale for the nurse to use this position?

a. Fowler's position helps dilate diseased bronchioles.
b. Fowler's position allows maximum lung expansion.
c. Fowler's position increases use of accessory muscles.
d. Fowler's position relieves stress on the back and chest.


ANS: B
Fowler's or semi-Fowler's position helps keep abdominal contents from crowding the lungs, allowing maximum lung expansion. C. Accessory muscle use is a sign of respiratory distress. D. Relieving stress on the back and chest does not necessarily improve breathing. A. Fowler's is not a bronchodilator.

Nursing

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An appropriate initial nursing intervention to complete at this time would include which of the following? A) Prepare for a lumbar puncture. B) Test the leaking fluid with a Dextrostix. C) Document the abnormal find as the only intervention. D) Pack the patient's nose to prevent leakage.

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A school age child is diagnosed with many individual and separate skin lesions. The nurse realizes this client is experiencing the result of:

1. measles. 2. poison ivy. 3. herpes zoster. 4. insect bites.

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