The nurse is assessing the client diagnosed with COPD. Which of the following would require immediate attention by the nurse?
Use of accessory muscles during inspiration.
Large amounts of thick white sputum
Presence of a barrel chest and clubbing
Oxygen flowmeter set on 8 LPM
The Correct Answer is D
A. Use of accessory muscles during inspiration is common in COPD as clients work harder to breathe. While this indicates respiratory distress, it is not necessarily an immediate emergency.
B. Large amounts of thick white sputum can indicate mucus production, which is common in COPD. If the sputum were yellow or green, it could suggest infection, requiring further assessment.
C. A barrel chest and clubbing are chronic changes in COPD due to prolonged air trapping and hypoxia. These findings do not require immediate intervention.
D. Oxygen flowmeter set on 8 LPM is correct. High-flow oxygen can suppress the hypoxic drive in COPD clients, leading to respiratory depression. The nurse should immediately lower the oxygen to a safer level (typically 1-3 LPM) and monitor the client’s respiratory status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While increasing caloric intake is important, the primary reason for small, frequent meals is to prevent dyspnea.
B. Social interaction is beneficial, but it is not the main reason for recommending small, frequent meals.
C. Ensuring a balanced diet is important, but not the specific reason for this recommendation.
D. Eating large meals can cause abdominal distention and pressure on the diaphragm, leading to dyspnea. Small, frequent meals help prevent this.
Correct Answer is A
Explanation
A. Weight loss is not a common side effect of prednisone. Instead, weight gain due to fluid retention and increased appetite is a frequent side effect.
B. Dry mouth can occur with prednisone use, though it is not the most common side effect.
C. Hyperglycemia is a well-known side effect because corticosteroids increase glucose production and reduce insulin sensitivity.
D. Decreased wound healing is a common effect due to prednisone's immunosuppressive and anti-inflammatory properties, which impair tissue repair.
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