Exhibits
A nurse is reviewing the medical record of a client who has COPD. The nurse should notify the provider about which of the following findings? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

SpO2

Respiratory rate

Temperature

Answer and Explanation

The Correct Answer is B

Rationale:

A. SpO₂: Although 88% is low for the general population, it is often an acceptable baseline for clients with COPD. Their oxygen saturation targets are typically between 88–92% to avoid suppressing respiratory drive, so this value may not require immediate provider notification.

B. pH: A pH of 7.22 indicates respiratory acidosis, which is a serious and potentially life-threatening complication of COPD. This level of acidosis shows that the client’s ventilation is inadequate, and immediate intervention is needed. This is the most critical finding that requires provider notification.

C. Respiratory rate: A rate of 22 breaths/min is slightly elevated but not critical. It may be compensatory and expected in a COPD patient who is hypoxic or retaining CO₂. By itself, it doesn't warrant urgent notification unless it worsens.

D. Temperature: A temperature of 37.2°C (99°F) is within the normal range and does not indicate infection or acute illness. It is not a finding that necessitates notifying the provider at this point.

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Correct Answer is ["A","B","C","E"]

Explanation

Rationale:

A. Possible alternative treatments: The provider is responsible for informing the client about all viable treatment options. This allows the client to make an informed decision by weighing the benefits and risks of each option.

B. Expected outcome of the procedure: Clients must understand the intended benefits and goals of the procedure. This helps them form realistic expectations and evaluate whether the procedure aligns with their preferences and values.

C. Explanation of the procedure: A clear and complete description of the procedure must be provided, including what it involves and how it will be performed. This is essential for valid informed consent.

D. Cost of the procedure: While important for financial planning, cost information is typically handled by billing or administrative staff, not required for medical informed consent by the provider.

E. Potential complications: Clients need to be informed about potential risks and complications to fully understand the implications of undergoing the procedure. This disclosure is legally and ethically required for consent.

A. Use Leopold maneuvers to determine the fetal position. B. Position the client on her side. C. Administer propranolol IV to the client. D. Ask the client to increase her daily calcium intake.

Correct Answer is B

Explanation

Rationale:

A. Use Leopold maneuvers to determine the fetal position: Leopold maneuvers are not appropriate as an immediate response to sudden nausea. The priority is to relieve the symptom, which may be related to positional compression of major blood vessels.

B. Position the client on her side: At 36 weeks gestation, the gravid uterus can compress the inferior vena cava when lying supine, leading to supine hypotensive syndrome. Symptoms like nausea, dizziness, and hypotension can occur. Side-lying positioning relieves the pressure and restores venous return and cardiac output.

C. Administer propranolol IV to the client: Propranolol is not indicated for treating pregnancy-related nausea or hypotension. Using it without a cardiovascular diagnosis would be inappropriate and could worsen hypotensive symptoms.

D. Ask the client to increase her daily calcium intake: While calcium is essential in pregnancy, especially for fetal bone development, increasing calcium intake has no immediate impact on sudden nausea or circulatory symptoms linked to maternal positioning.

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ExhibitsA nurse is reviewing the medical record of a client who has COPD. The nurse should notify the provider about which of the following findings? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

Nursing Test Bank

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Explanation

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Exhibits
A nurse is reviewing the medical record of a client who has COPD. The nurse should notify the provider about which of the following findings? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)