A client has chronic obstructive pulmonary disease (COPD) and right-sided heart failure. Which statement by the nurse is correct?
"Eat six small meals a day to limit oxygen needs."
"Increase the intake of protein to decrease intravascular hydrostatic pressure."
"Drink large amounts of fluid to help liquefy secretions."
"Lie down after eating to conserve energy needed for digestion."
The Correct Answer is A
A. Eating six small meals a day prevents excessive oxygen demand during digestion and reduces bloating, which can impair breathing.
B. Protein intake is important, but it does not directly impact intravascular hydrostatic pressure in a way that would help with COPD and right-sided heart failure.
C. While adequate hydration is necessary, excessive fluid intake can worsen right-sided heart failure by increasing fluid retention and edema.
D. Lying down after eating can worsen dyspnea and lead to reflux, which is not advisable for COPD patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Assessing level of consciousness is a nursing responsibility and cannot be delegated to the UAP.
B. Auscultating breath sounds requires clinical judgment and must be performed by a nurse.
C. Encouraging deep breathing exercises is within the scope of a UAP and can help improve gas exchange.
D. Recording a pulse oximeter reading is a task that can be delegated to a UAP, though interpretation remains the nurse’s responsibility.
E. Keeping the head of the bed elevated helps improve oxygenation and can be done by the UAP.
Correct Answer is C
Explanation
A. Having the client lay flat for 4 hours is appropriate. After coronary angiography, bed rest is required to prevent bleeding from the arterial puncture site, especially if a femoral approach was used.
B. Monitoring the site for bleeding and hematoma formation is correct. Bleeding is a potential complication, and frequent assessment of the catheter insertion site is necessary.
C. Administering metformin should be questioned. Metformin is contraindicated within 48 hours of receiving contrast dye because of the risk of lactic acidosis, especially in clients with impaired renal function.
D. Administering aspirin is appropriate. Aspirin is commonly prescribed to prevent clot formation after a coronary procedure.
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