A patient with chronic obstructive pulmonary disease (COPD) is being discharged home with a new prescription for an inhaled bronchodilator.
Which instruction should the nurse include in the discharge teaching?

Use the inhaler before engaging in physical activity.

Skip doses if symptoms improve.

Use the inhaler only when experiencing severe symptoms.

Double the dose if symptoms do not improve immediately.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Using the inhaler before engaging in physical activity helps to prevent exercise-induced bronchospasm, which is common in patients with COPD.

Choice B rationale

Skipping doses if symptoms improve is not recommended as it can lead to suboptimal control of COPD and potential exacerbations.

Choice C rationale

Using the inhaler only when experiencing severe symptoms is not effective in managing COPD. Regular use as prescribed helps maintain lung function and prevent exacerbations.

Choice D rationale

Doubling the dose if symptoms do not improve immediately is not safe and can lead to adverse effects. Patients should follow the prescribed dosage and consult their healthcare provider if symptoms persist.

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Correct Answer is D

Explanation

Choice A rationale

Reduced bronchospasm is a beneficial outcome for COPD, but it is not the primary outcome related to gas exchange.

Choice B rationale

Decreased breathlessness is a positive outcome for COPD, but it is not directly related to gas exchange.

Choice C rationale

Increased carbon dioxide retention is a negative outcome and indicates worsening of gas exchange.

Choice D rationale

Improved oxygen saturation levels are a direct and measurable outcome of effective gas exchange and indicate better oxygenation in COPD patients.

A. Irrigate the catheter. B. Adjust the rate of the bladder irrigant. C. Notify the provider. D. Check the tubing for kinks.

Correct Answer is D

Explanation

Choice A rationale

Irrigating the catheter without checking for kinks first may not address the underlying issue and can potentially cause harm.

Choice B rationale

Adjusting the rate of the bladder irrigant may not resolve the issue if the catheter tubing is kinked.

Choice C rationale

Notifying the provider without first checking for kinks may delay the resolution of the problem.

Choice D rationale

Checking the tubing for kinks is the first action to ensure there is no obstruction preventing the flow of urine. .

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A patient with chronic obstructive pulmonary disease (COPD) is being discharged home with a new prescription for an inhaled bronchodilator.Which instruction should the nurse include in the discharge teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which outcome is appropriate for the client problem of "ineffective gas exchange" for the client diagnosed with chronic obstructive pulmonary disease (COPD)?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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A patient with chronic obstructive pulmonary disease (COPD) is being discharged home with a new prescription for an inhaled bronchodilator.
Which instruction should the nurse include in the discharge teaching?