A nurse is reinforcing teaching for a client who was admitted with an exacerbation of COPD. Which of the following should the nurse include in the client teaching?
"You should consume small, frequent meals each day."
"You should decrease your caloric intake by 200 calories per day."
"You should increase your oxygen to 5 liters per minute if you have shortness of breath."
"You should discontinue your prednisone when your symptoms improve."
The Correct Answer is A
Choice A Reason;
"You should consume small, frequent meals each day." This statement is advisable for COPD management. Eating smaller, more frequent meals can help prevent bloating or feeling overly full, which might interfere with breathing due to increased pressure on the diaphragm.
Choice B Reason:
"You should decrease your caloric intake by 200 calories per day." While maintaining a healthy weight is important for COPD management, reducing caloric intake without specific guidance or assessment might not be suitable. It's crucial to consult with a healthcare provider or dietitian for individualized dietary recommendations.
Choice C Reason:
"You should increase your oxygen to 5 liters per minute if you have shortness of breath." Adjusting oxygen flow should be done based on a healthcare provider's prescribed guidelines. Self-adjustment of oxygen flow without medical advice can be risky and might not address the underlying cause of shortness of breath during a COPD exacerbation.
Choice D Reason:
"You should discontinue your prednisone when your symptoms improve." Prednisone or other corticosteroids are often prescribed during a COPD exacerbation to reduce inflammation in the airways. However, discontinuing corticosteroids abruptly without a healthcare provider's guidance can lead to a recurrence of symptoms or potential complications. It's important to follow the prescribed regimen and complete the course as directed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Administer meperidine IM is incorrect. Reason why it's not the answer: Meperidine (Demerol) is not recommended in cases of malignant hyperthermia. It can potentially exacerbate the situation by further increasing muscle rigidity and potentially contributing to the hypermetabolic state. Meperidine can trigger additional release of calcium from the sarcoplasmic reticulum in muscles, worsening the symptoms.
Choice B Reason:
Instill a warm enema solution is incorrect. Reason why it's not the answer: Introducing warm solutions can exacerbate the client's condition by further increasing body temperature. Malignant hyperthermia is characterized by a dangerous increase in body temperature, and adding heat through an enema would only make the situation worse.
Choice C Reason:
Applying a cooling blanket is recommendable. Reason why it's the answer: A cooling blanket is a recommended intervention for managing malignant hyperthermia. Lowering the body temperature is crucial in preventing further complications associated with the high fever. Cooling blankets help dissipate heat from the body, aiding in rapidly reducing the dangerously elevated temperature associated with malignant hyperthermia.
Choice D Reason:
Ventilate client with 50% oxygen is incorrect. Reason why it's not the answer: While providing oxygen support might be necessary as part of managing the overall condition, ventilating with 50% oxygen specifically may not directly address the core issue of rapidly cooling the body during a malignant hyperthermia crisis. Ventilation may be required, but the immediate concern is to cool the body to prevent complications arising from the elevated body temperature.
Correct Answer is D
Explanation
Choice A Reason:
Setting the degree of flexion and extension as tolerated by the client is generally appropriate in a CPM device, but this should be done within the prescribed range recommended by the healthcare provider. Simply allowing the client to adjust the degree of flexion and extension without guidance might lead to overextension or inadequate movement, potentially causing discomfort or hindering recovery.
Choice B Reason:
Padding the CPM device with a thick pillow isn't the recommended approach. CPM devices typically come with appropriate padding to ensure comfort and proper positioning. Using a thick pillow might alter the device's mechanics or cause uneven support, affecting the intended movement of the knee.
Choice C Reason:
Placing the client in high-Fowler's position (sitting upright at a 90-degree angle) isn't a standard or necessary position for using a CPM device after a knee arthroplasty. The client can typically use the CPM device while lying in a comfortable and relaxed position, following the healthcare provider's instructions regarding positioning during CPM therapy.
Choice D Reason:
Aligning the client's joints with the joints on the frame is essential for the correct function of the CPM device. This alignment helps in providing the intended range of motion without causing unnecessary stress or strain on the knee joint.
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