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 D
Explanation
Choice A Reason:
"I wish my sexual relationship with my partner was like it was before." This statement indicates a desire to return to the previous state, implying a sense of dissatisfaction or longing for the way things were before the ileostomy surgery, rather than acceptance of the current situation.
Choice B Reason:
"I have my partner empty the bag for me, so I don't have to look at it."While having a partner assist with bag management might indicate some level of adaptation, the statement implies avoidance or discomfort in dealing directly with the ileostomy. It may suggest a lack of full acceptance or adjustment to the presence of the ileostomy.
Choice C Reason:
“I look forward to having normal bowel movements again." This statement expresses a desire to return to the previous bodily function, indicating a longing for the way things were before the surgery rather than complete acceptance of the ileostomy as a new way of managing bowel movements.
Choice D Reason:
"I will attend a support group to help me handle difficulties when they occur." Attending a support group demonstrates a proactive approach toward acceptance and adjustment to living with an ileostomy. It shows the client's willingness to seek support, learn coping strategies, and engage with others facing similar challenges.
Correct Answer is B
Explanation
Choice A Reason:
"I can take my partner outside of the room as long as they wear a mask."MRSA contact precautions typically involve limiting the spread of the bacteria. Taking the partner outside the room while wearing a mask might not be sufficient for infection control, as MRSA can spread through direct contact with surfaces. This statement might not indicate a full understanding of MRSA precautions.
Choice B Reason:
"I will wash my hands as soon as I leave the room. “Hand hygiene is a crucial component of infection control for MRSA. Washing hands with soap and water or using alcohol-based hand sanitizer after leaving the room helps prevent the spread of MRSA to oneself or others.
Choice C Reason:
"I will wear a gown when I help my partner take a bath." Wearing a gown during tasks that might involve contact with the patient's bodily fluids or surfaces that might be contaminated is recommended for MRSA precautions. This statement aligns with infection control practices.
Choice D Reason:
"I can reuse unsoiled gloves when I re-enter the room. “Reusing gloves, even if they appear unsoiled, is generally not recommended as it can contribute to the spread of MRSA. Gloves should be disposed of after each use and hands washed thoroughly.
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