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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?

A.

Lay down on each side with knees bent and breathe from abdomen.

B.

Increase breathing rate for a full 30 seconds.

C.

Raise hands above the head to expand the diaphragm.

D.

Draw air in through nose and exhale slowly through pursed lips.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Laying down on each side with knees bent and breathing from the abdomen is not an effective technique for improving gas exchange in emphysema patients.

 

Choice B rationale

 

Increasing the breathing rate for a full 30 seconds can lead to hyperventilation and is not recommended for improving gas exchange.

 

Choice C rationale

 

Raising hands above the head to expand the diaphragm is not a recognized technique for improving gas exchange in emphysema patients.

 

Choice D rationale

 

Drawing air in through the nose and exhaling slowly through pursed lips is an effective technique for improving gas exchange in emphysema patients. This method helps to keep the airways open longer and improves the removal of trapped air.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Advising the client that it is too late to receive an influenza vaccination once symptoms occur is correct, but it does not address the client’s question about oseltamivir.

Choice B rationale

Explaining that antibiotics are not useful in treating viral infections is correct, but it does not address the client’s question about oseltamivir.

Choice C rationale

Referring the client to the healthcare provider to obtain a medication prescription is the most appropriate response. Oseltamivir is an antiviral medication that can be effective if started within 48 hours of symptom onset.

Choice D rationale

Instructing the client that over-the-counter medications are sufficient to manage influenza symptoms is not appropriate, as oseltamivir can help reduce the severity and duration of the illness if taken early.

Correct Answer is C

Explanation

Choice A rationale

Palpating large joints for nodules is not the most effective technique for assessing early signs of rheumatoid arthritis (RA). Nodules typically appear in more advanced stages of RA and are not an early sign.

Choice B rationale

Observing the skin for lesions is not specific to RA. While skin lesions can be associated with other conditions, they are not a primary indicator of early RA1.

Choice C rationale

Observing the client’s fingers is crucial for detecting early signs of RA. Early RA often presents with swelling, tenderness, and stiffness in the small joints of the fingers.

Choice D rationale

Palpating the lymph nodes is not relevant for early RA assessment. Lymph node enlargement is not a typical early sign of RA1.

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