A client with COPD reports steady weight loss and being “too tired from just breathing to eat.” Which of the following nursing diagnoses would be most appropriate when planning nutritional interventions for this client? A. Altered nutrition: Less than body requirements related to fatigue. B. Activity intolerance related to dyspnea. C. Weight loss related… Read More »
A male patient’s X-ray result reveals bilateral white-outs, indicating acute respiratory distress syndrome (ARDS). This syndrome results from: A. Cardiogenic pulmonary edema B. Respiratory alkalosis C. Increased pulmonary capillary permeability D. Renal failure Correct Answer: C. Increased pulmonary capillary permeability ARDS results from increased pulmonary capillary permeability,… Read More »
When developing a discharge plan to manage the care of a client with COPD, the nurse should anticipate that the client will do which of the following? A. Develop infections easily. B. Maintain current status. C. Require less supplemental oxygen. D. Show permanent improvement. Correct Answer: A.… Read More »
For a female patient with chronic obstructive pulmonary disease, which nursing intervention would help maintain a patent airway? A. Restricting fluid intake to 1,000 ml per day. B. Enforcing absolute bed rest. C. Teaching the patient how to perform controlled coughing. D. Administering prescribed sedatives regularly and in large amounts. … Read More »
Which of the following outcomes would be appropriate for a client with COPD who has been discharged to home? The client: A. Promises to do pursed lip breathing at home. B. States actions to reduce pain. C. States that he will use oxygen via a nasal cannula at 5 L/minute. D.… Read More »
Nurse Lei, caring for a client with a pneumothorax and who has had a chest tube inserted, continues gentle bubbling in the suction control chamber. What action is appropriate? A. Do nothing, because this is an expected finding. B. Immediately clamp the chest tube and notify the physician. C. Check for an… Read More »
Which of the following physical assessment findings would the nurse expect to find in a client with advanced COPD? A. Increased anteroposterior chest diameter. B. Underdeveloped neck muscles. C. Collapsed neck veins. D. Increased chest excursions with respiration. Correct Answer: A. Increased anteroposterior chest diameter. Increased anteroposterior… Read More »
Nurse Maureen has assisted a physician with the insertion of a chest tube. The nurse monitors the client and notes fluctuation of the fluid level in the water seal chamber after the tube is inserted. Based on this assessment, which action would be appropriate? A. Inform the physician. B. Continue to monitor the… Read More »
Which of the following is the primary reason to teach pursed-lip breathing to clients with emphysema? A. To promote oxygen intake. B. To strengthen the diaphragm. C. To strengthen the intercostal muscles. D. To promote carbon dioxide elimination. Correct Answer: D. To promote carbon dioxide elimination. Pursed… Read More »
Nurse Reynolds caring for a client with a chest tube turns the client to the side, and the chest tube accidentally disconnects. The initial nursing action is to: A. Call the physician. B. Place the tube in a bottle of sterile water. C. Immediately replace the chest tube system. D. Place a sterile… Read More »