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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Gonorrhea: While sexually transmitted infections can affect pregnancy, the symptoms described are not consistent with gonorrhea.
B. Group B Streptococcus: Group B Streptococcus is commonly screened for in pregnant individuals but does not typically present with the described symptoms.
C. Toxoplasmosis: Toxoplasmosis can affect pregnancy, but the symptoms described are not specific to toxoplasmosis.
D. Rubella: Rubella infection during pregnancy can lead to congenital rubella syndrome, which can cause birth defects. The symptoms described are consistent with rubella infection.
Correct Answer is A
Explanation
Rationale for A: The Health Insurance Portability and Accountability Act (HIPAA) protects the privacy of medical information, and since the client is an adult, medical information can only be shared with the client or individuals the client designates. The nurse must follow these regulations and inform the parent appropriately.
Rationale for B: This response is inappropriate and disrespectful. While maintaining confidentiality is crucial, the language used should be sensitive and professional when discussing privacy issues with a parent.
Rationale for C: While the healthcare provider can discuss medical information, this response deflects responsibility. The nurse should clarify that medical information can only be shared with the client unless permission is granted.
Rationale for D: Offering to share lab results with the parent without the client's consent would violate HIPAA and the client's privacy rights, making this response incorrect.
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