During a home visit, the nurse should evaluate the effectiveness of a client's treatment for chronic obstructive pulmonary disease (COPD) by assessing for which primary symptom?

Tachycardia.

Edem of the ankles.

Dyspneal.

Unilateral diminished breath sounds.

Answer and Explanation

The Correct Answer is C

Choice A reason: Tachycardia, or a rapid heart rate, can be a symptom associated with COPD, especially during exacerbations or due to medication effects. However, it is not the primary symptom used to evaluate the effectiveness of COPD treatment.

Choice B reason: Edem of the ankles can occur in COPD patients due to right-sided heart failure (cur pulmonale) associated with chronic lung disease. While it is an important symptom to monitor, it is not the primary indicator of COPD treatment effectiveness.

Choice C reason: Dyspneal, or difficulty breathing, is the most significant and primary symptom of COPD. The primary goal of COPD treatment is to improve the client's breathing and reduce dyspneal. Assessing the client's level of breathlessness provides direct insight into how well the treatment is managing the condition.

Choice D reason: Unilateral diminished breath sounds can indicate localized issues such as pneumothorax or pleural effusion rather than the overall effectiveness of COPD treatment. Bilateral lung sounds and general respiratory status are more relevant to evaluating COPD management.

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Correct Answer is C

Explanation

Choice A reason: Using a feminine hygiene spray can irritate the urethra and worsen the symptoms of cystitis. It is generally recommended to avoid products that contain chemicals and fragrances, as they can disrupt the natural balance of bacteria and lead to further infections.

Choice B reason: Limiting cranberry juice intake is not a typical recommendation for clients with cystitis. In fact, cranberry juice is often suggested as it contains compounds that can help prevent bacteria from adhering to the bladder wall, potentially reducing the risk of urinary tract infections.

Choice C reason: Wearing cotton underwear is recommended because it is breathable and helps keep the genital area dry. This can reduce the risk of bacterial growth and infection, making it an important measure in managing and preventing cystitis.

Choice D reason: Taking daily tub baths can increase the risk of introducing bacteria into the urinary tract, especially if the water is not clean. It is generally advised to take showers instead of tub baths to minimize the risk of urinary tract infections.

A. Drink regular colas frequently throughout the day until the nausea subsides. B. Do not inject any additional insulin until solid food can be tolerated. C. Go to the emergency room as soon as possible for glucose administration. D. Continue to monitor blood glucose levels and drink fluids as tolerated.

Correct Answer is D

Explanation

Choice A reason: Drinking regular colas can lead to fluctuations in blood glucose levels and is not an appropriate recommendation for managing nausea in a client with diabetes.

Choice B reason: Not injecting additional insulin until solid food can be tolerated is not advisable, as it may lead to hyperglycaemia or diabetic ketoacidosis. Insulin needs to be managed carefully even if the client is not eating.

Choice C reason: Going to the emergency room immediately may not be necessary if the client can manage their blood glucose levels at home with proper guidance.

Choice D reason: Monitoring blood glucose levels and drinking fluids as tolerated is the best initial advice. This helps prevent dehydration and maintain glucose control while dealing with the nausea. The client should also follow sick day management guidelines for diabetes and stay in touch with their healthcare provider.

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During a home visit, the nurse should evaluate the effectiveness of a client's treatment for chronic obstructive pulmonary disease (COPD) by assessing for which primary symptom?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning discharge teaching for a client who has cystitis. Which information should the nurse include in the teaching plan?

Correct Answer is C

Explanation

A client with type 1 diabetes mellitus calls the home care nurse and reports taking a morning dose of 70/30 insulin before realizing they have a stomach virus and are now unable to eat breakfast due to nausea. Which initial instruction should the nurse provide the client?

Correct Answer is D

Explanation

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The home health nurse visits a client who has a serum sodium level of 123 me/L (123 mmol/L). To explore possible etiologist for this value, what question should the nurse ask the client?

A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?

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