A client with chronic obstructive lung disease who is receiving oxygen at 1.5 L/minute by nasal cannula, is currently short of breath. Which action should the nurse take?

Have the client breathe into a paper bag.

Ask the client to take short, rapid breaths.

Instruct the client in pursed lip breathing.

Increase oxygen to three L/minute.

Answer and Explanation

The Correct Answer is C

A.   Having the client breathe into a paper bag is a technique sometimes used for anxiety-induced hyperventilation but is not appropriate for a client with chronic obstructive lung disease
experiencing shortness of breath. It can lead to a buildup of carbon dioxide, worsening the client's condition.
B.   Asking the client to take short, rapid breaths may exacerbate hyperventilation and increase the client's anxiety. This breathing pattern can lead to further respiratory distress in a client with
chronic obstructive lung disease.
C.   Instructing the client in pursed lip breathing is the most appropriate action. Pursed lip breathing helps to prolong exhalation, reduce air trapping, and improve gas exchange in clients with chronic obstructive lung disease. It can help alleviate shortness of breath and promote
relaxation.
D.   Increasing oxygen to three L/minute may not be necessary and could potentially lead to oxygen toxicity. The priority is to help the client manage their shortness of breath effectively through breathing techniques.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

A. Maintaining the bed flat while sleeping is not specifically related to self-care instructions for chronic venous insufficiency caused by deep vein thrombosis. In fact, elevating the legs while sleeping may be beneficial.
B. Continuing to wear compression stockings is important for managing chronic venous insufficiency and preventing complications such as edema and venous stasis ulcers.
C. Avoiding prolonged standing or sitting helps prevent venous pooling and exacerbation of symptoms associated with chronic venous insufficiency.
D. Using a recliner for long periods of sitting can help reduce venous stasis and swelling by elevating the legs and improving venous return.
E. Crossing legs at the knee can impede blood flow and exacerbate symptoms of chronic venous insufficiency. The correct instruction would be to avoid crossing legs at both the knee and ankle.

A. Mild sedation. B. Somnambulism. C. A change in the sleep-wake cycle. D. Dizziness reported after the initial dose.

Correct Answer is B

Explanation

A. Mild sedation is a common side effect of ramelteon and typically does not require immediate medical attention. It may improve with continued use as the body adjusts to the medication.
B. Somnambulism (sleepwalking) is a less common but potentially serious side effect of ramelteon. It can pose safety risks to the client, and the healthcare provider should be notified promptly to assess the severity and determine if the medication needs to be adjusted or
discontinued.
C. A change in the sleep-wake cycle is a common intended effect of ramelteon as it helps regulate sleep patterns. However, if the change is extreme or disruptive, it may warrant further evaluation by the healthcare provider.
D. Dizziness reported after the initial dose is a common side effect of ramelteon and usually
diminishes with continued use. It may not require immediate medical attention unless it persists or worsens.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client with chronic obstructive lung disease who is receiving oxygen at 1.5 L/minute by nasal cannula, is currently short of breath. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The home care nurse provided self-care instructions for a client with chronic venous insufficiency caused by deep vein thrombosis. What instruction(s) should the nurse include in the client's discharge teaching plan? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

A client who recently received a prescription for ramelteon to treat sleep deprivation reports experiencing several side effects since taking the drug. Which side effect should the nurse report to the healthcare provider?

Correct Answer is B

Explanation

A client receives a prescription for loratadine suspension 10 mg PO once a day. The bottle is labeled, "Loratadine for Oral Suspension, 5 mg per 5 mL." How many teaspoons should the nurse instruct the client to take? (Enter numerical value only.)

Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID-19. Which action is most important for the nurse to take?

A client who is one day postpartum tells the nurse that her baby cannot latch onto the breast. The nurse determines that the client's nipples are inverted. Which action should the nurse implement?

A client is being discharged home after being treated for heart failure (HF. Which instruction should the nurse include in this client's discharge teaching plan?

The parent of a child born with a myelomeningocele asks the nurse, "What did I do to deserve this?" Which response is most helpful?

The nurse notes that a client with depression has been more withdrawn and noncommunicative during the past two weeks. Which Intervention is most important to include in the updated plan of care for this client?

A client is admitted with the diagnosis of Wernicke's syndrome. Which assessment finding should the nurse use in planning the client's care?

The nurse is caring for an older adult client with a history of osteoarthritis who is having difficulty walking because of increased right knee pain. To assess the quality of the client's knee pain, which approach should the nurse use?