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.

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Correct Answer is D

Explanation

- A) Any level of fever is not necessarily serious after vaccination. Mild fever is a common side effect and can be monitored at home unless it exceeds 101 degrees Fahrenheit or persists beyond 48 hours.
- B) Keeping the child home from daycare is not necessary unless the child develops symptoms that warrant closer observation or care, such as a high fever or behavioral changes.
- C) Aspirin should not be given to children due to the risk of Reye's syndrome, a rare but serious condition that can cause swelling in the liver and brain.
- D) Applying a cool pack to the injection site is a safe and effective way to reduce discomfort and swelling that may occur after the vaccination.

A. I can show my child a movie or read him a book during the procedure. B. The echocardiogram is a painful procedure. C. Echocardiography uses soundwaves to produce images. D. The echocardiogram will produce an image of the structure of the heart.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

I can show my child a movie or read him a book during the procedure.

Correct Answer: Understanding

Rationale: Echocardiograms are non-invasive and do not require the patient to remain still, so activities like watching a movie or reading a book can be comforting and are often encouraged to help the child stay calm during the procedure.

The echocardiogram is a painful procedure.

Correct Answer: No understanding

Rationale: Echocardiograms are painless tests that use ultrasound (sound waves) to capture images of the heart. It involves no needles or incisions, and there should be no pain associated with the procedure itself.

Echocardiography uses soundwaves to produce images.

Correct Answer: Understanding

Rationale: Echocardiography, indeed, uses high-frequency sound waves to create detailed images of the heart and its structures, allowing for the assessment of heart function and the detection of abnormalities.

The echocardiogram will produce an image of the structure of the heart.

Correct Answer: Understanding

Rationale: The primary purpose of an echocardiogram is to provide a visual representation of the heart's structure and function, including the chambers, valves, and major blood vessels, to aid in diagnosis and monitoring of heart conditions.

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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

A parent asked the nurse how to care for their 4-year-old child after receiving the Haemophilus influenzae type b (Hib) conjugate vaccine. Which instruction should the nurse provide?

Correct Answer is D

Explanation

Exhibits After the physician orders the echocardiogram, the nurse provides education to the parents on the procedure. For each statement, click to indicate whether the statement by the parents indicate understanding or no understanding. Each row must have only one response option selected.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

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