A client is admitted with an exacerbation of COPD. He has a long history of chronic bronchitis.
What physical finding does the nurse expect in a client with chronic bronchitis?

SpO2 >92%.

Underweight.

Bradypnea.

Productive cough.

Answer and Explanation

The Correct Answer is D

A client with chronic bronchitis is expected to have a cough that produces sputum for at least 3 months during two successive years. This is due to the hyperplasia of mucous glands and bronchial wall inflammation that occur in chronic bronchitis.

Choice A is wrong because SpO2 >92% is not a specific finding for chronic bronchitis.

SpO2 is a measure of oxygen saturation in the blood and can vary depending on many factors, such as altitude, smoking, and lung diseases. SpO2 may be lower than normal in COPD patients due to airflow obstruction and impaired gas exchange.

Choice B is wrong because underweight is not a typical finding for chronic bronchitis.

Underweight may be more associated with emphysema, which is another component of COPD that involves the destruction of alveolar walls and enlargement of air spaces. Emphysema can cause weight loss due to increased work of breathing and decreased appetite.

Choice C is wrong because bradypnea is not a common finding for chronic bronchitis.

Bradypnea is abnormally slow breathing rate and can be caused by various conditions, such as brain injury, drug overdose, or sleep apnea. Chronic bronchitis usually causes tachypnea, which is abnormally fast breathing rate, due to hypoxia and hypercapnia.

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Correct Answer is C

Explanation

This statement indicates an understanding of the ethical principle of respect for autonomy, which means that the nurse respects the client’s right to make their own decisions about their care and respects their values and beliefs.

Choice A is wrong because “A nurse’s personal values are not considered when making ethical decisions.” This statement contradicts the ethical principle of integrity, which means that the nurse acts in accordance with their personal and professional values and standards.

Choice B is wrong because “A nurse’s behaviors and actions are called values.” This statement confuses values with morals, which are the judgments about behaviors and actions based on personal or societal beliefs.

Choice D is wrong because “Value clarification involves maintaining clinical competency.” This statement confuses value clarification with professionalism, which involves maintaining clinical competency, accountability, and responsibility. Value clarification is a process of self-exploration and reflection that helps the nurse identify their own values and understand how they affect their ethical decisions.

A. Verbally question the staff about the new equipment. B. Require each nurse to take a written examination about the new equipment. C. Allow time during the workday when each nurse can demonstrate proficiency. C. Ask each nurse to read the procedure and sign a form acknowledging competency.

Correct Answer is C

Explanation

Allowing time during the workday when each nurse can demonstrate proficiency is the best way to evaluate staff competency with the new equipment. This method ensures that the nurses can perform the skills correctly and safely under the charge nurse’s supervision and feedback.

Choice A is wrong because verbally questioning the staff about the new equipment does not assess their practical skills or ability to use the equipment correctly.

Choice B is wrong because requiring each nurse to take a written examination about the new equipment does not assess their hands-on skills or ability to troubleshoot problems with the equipment.

Choice D is wrong because asking each nurse to read the procedure and sign a form acknowledging competency does not verify that the nurses have understood the procedure or can apply it in practice.

It also relies on the nurses’ honesty and self-assessment, which may not be accurate or reliable.

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A client is admitted with an exacerbation of COPD. He has a long history of chronic bronchitis. What physical finding does the nurse expect in a client with chronic bronchitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about values to a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding?

Correct Answer is C

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A charge nurse is providing an inservice for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?

Correct Answer is C

Explanation

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A client is admitted with an exacerbation of COPD. He has a long history of chronic bronchitis.
What physical finding does the nurse expect in a client with chronic bronchitis?