A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the
following interventions in the plan?

Provide the client with a low protein diet.

Instruct the client to use pursed-lip breathing.

Restrict the client's ﬂuid intake to less than 2 L/day.

Have the client use the early-morning hours for exercise and activity.

Answer and Explanation

The Correct Answer is B

Pursed-lip breathing is a technique that helps clients with COPD to exhale more eﬀectively and prevent air trapping in the lungs. It also reduces dyspnea and improves oxygenation.

a) A low protein diet is not recommended for clients with COPD, as they need adequate protein intake to maintain muscle mass and prevent malnutrition.

c) Fluid restriction is not necessary for clients with COPD, unless they have signs of ﬂuid overload or heart failure. Adequate hydration helps to thin secretions and facilitate expectoration.

d) Early-morning hours are not the best time for exercise and activity for clients with COPD, as they may experience more shortness of breath and fatigue due to diurnal variations in lung function. A better time would be mid-morning or afternoon, after taking bronchodilators and clearing secretions.

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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

2 capsules

To calculate the number of capsules, use the formula:

capsules = (desired dose in mg / available dose in mg) x 1 capsule

Plug in the given values:

capsules = (300 mg / 150 mg) x 1 capsule

Simplify and solve:

capsules = 2 x 1 capsule

capsules = 2 capsules

Round to the nearest whole number and add a leading zero if needed:

capsules = 2 capsules

A. Performing the procedure independently B. Attending a class given about tracheostomy care C. Verbalizing all steps in the procedure D. Asking appropriate questions about suctioning

Correct Answer is A

Explanation

Performing the procedure independently is the best indicator of the partner's readiness for the client's discharge, as it demonstrates competence and confidence in suctioning. Suctioning is a skill that requires practice and supervision until mastery is achieved. The nurse should observe and evaluate the partner's performance of suctioning and provide feedback and reinforcement as needed.

b) Attending a class given about tracheostomy care is a good action by the partner, but not the best indicator of readiness for the client's discharge. Attending a class can provide information and education about tracheostomy care, but it does not necessarily translate into skill acquisition or application. The nurse should assess the partner's understanding and retention of the information and provide additional teaching or clarification as needed.
c) Verbalizing all steps in the procedure is a good action by the partner, but not the best indicator of readiness for the client's discharge. Verbalizing all steps in the procedure can help the partner remember and follow the correct sequence and technique of suctioning, but it does not necessarily reﬂect actual performance or ability. The nurse should observe and verify that the partner is doing what they are saying and correct any errors or omissions as needed.
d) Asking appropriate questions about suctioning is a good action by the partner, but not the best indicator of readiness for the client's discharge. Asking appropriate questions about suctioning can show interest and involvement in learning and caring for the client, but it does not necessarily indicate competence or confidence in suctioning. The nurse should answer the partner's questions and provide additional resources or referrals as needed.

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A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is caring for a client with a tracheostomy. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge?

Correct Answer is A

Explanation

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A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the
following interventions in the plan?