The nurse is preparing to assess a client who has chronic obstructive pulmonary disease (COPD). Before palpating the client's abdomen, the nurse decides to:
1. Have the client remain upright.
2. Have the client assume the Sims' position.
3. Have the client bend over a table.
4. Administer 6L of oxygen first.
1. Have the client remain upright.
Rationale:
Abdomen palpation is usually done in the supine position, but the client with COPD would not tolerate the position well. The nurse should position the client with the head elevated to the point of comfortable breathing to perform the assessment. Having the client lie in the Sims' position could compromise the client's ability to breathe effectively. A client with COPD who is experiencing dyspnea would be asked to bend over the table. Administering oxygen to a client with COPD may decrease the client's drive to breathe.
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