The nurse is caring for a patient admitted with COPD, who is having difficulty breathing. Which actions can the nurse take to provide support? Select all that apply

offer small frequent meals

provide bronchodilators, if ordered

wean from oxygen

encourage smoking cessation

administer corticosteroids, if ordered

Answer and Explanation

Correct Answer : B,D,E

B. Bronchodilators are medications commonly used to relieve bronchospasm and improve airflow in patients with COPD. They work by relaxing the muscles around the airways, making it easier to breathe. Providing bronchodilators as prescribed can help alleviate difficulty breathing and improve the patient's respiratory function.
D. Smoking cessation is essential for patients with COPD as smoking is the leading cause of the disease and can exacerbate respiratory symptoms. Quitting smoking can slow the progression of COPD, reduce the frequency and severity of exacerbations, and improve overall lung function.
E. Corticosteroids are anti-inflammatory medications commonly used to reduce airway inflammation and control exacerbations in patients with COPD. They can help improve breathing and reduce the severity of respiratory symptoms during acute exacerbations.
A. Offering small frequent meals can help reduce the sensation of fullness and bloating, which can sometimes occur in patients with COPD due to increased abdominal pressure from compromised respiratory function. However, this is not specific to COPD.
C. Weaning from oxygen should be done cautiously and under the guidance of healthcare providers but not in the state of difficulty in breathing. Oxygen therapy is often necessary for patients with COPD who experience difficulty breathing, especially during acute exacerbations. Therefore, weaning from oxygen may be appropriate once the patient's respiratory status stabilizes and oxygen saturation levels improve.

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Correct Answer is ["A","C","F","G"]

Explanation

A. Acetone breath, characterized by a fruity or acetone-like odor on the patient's breath, is a classic sign of DKA. In addition, Kussmaul respirations, which are deep and labored breathing patterns, can occur as the body attempts to compensate for metabolic acidosis in DKA.
C. Nausea and vomiting are common symptoms of DKA and can occur due to metabolic acidosis, electrolyte imbalances, and gastrointestinal disturbances associated with the condition.
F. Tachycardia and hypotension are signs of hemodynamic instability, which can occur in severe cases of DKA due to dehydration, electrolyte imbalances, and the systemic effects of metabolic acidosis.
G. Turning off an insulin pump can lead to insulin deficiency, which is a precipitating factor for DKA, particularly in patients with type 1 diabetes who rely on continuous insulin therapy. This finding is consistent with the development of DKA.
B. Blurred vision and headache can be symptoms of DKA, although they are not specific to this condition. Elevated blood glucose levels and dehydration associated with DKA can lead to osmotic diuresis and subsequent fluid shifts, which may manifest as headache and visual disturbances.

D. A history of type 1 diabetes mellitus (DM) predisposes the patient to DKA but the history of appendix removal at age 7 is not directly relevant to the current presentation of DKA.
E. Alcohol ingestion can contribute to the development of DKA by inhibiting gluconeogenesis and promoting ketoacidosis, particularly if the patient is not consuming adequate carbohydrates and insulin. However, it is not a direct sign of DKA.

A. “I must take insulin pills for the rest of my life." B. “I will count my carbohydrates at each meal and snack." C. “I will monitor my feet carefully every day." D. "I will try to keep my blood glucose between 80 and 130 mg/dL before meals."

Correct Answer is A

Explanation

A. Insulin is typically administered via injections or an insulin pump, not in pill form. Individuals with type 1 diabetes require exogenous insulin to manage their blood sugar levels because their pancreas does not produce insulin.
B. Carbohydrate counting is a fundamental skill for individuals with diabetes, as it allows them to adjust their insulin dosage to match their carbohydrate intake, thereby helping to manage blood sugar levels.
C. Regular foot monitoring is crucial for individuals with diabetes, as they are at increased risk of developing foot problems due to nerve damage (neuropathy) and poor circulation.
D. Maintaining blood glucose levels within the target range (80-130 mg/dL before meals) helps reduce the risk of both short-term complications (e.g., hypoglycemia) and long-term complications (e.g., neuropathy, retinopathy) associated with diabetes.

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The nurse is caring for a patient admitted with COPD, who is having difficulty breathing. Which actions can the nurse take to provide support? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C","F","G"]

Explanation

The nurse knows a patient with type 1 diabetes needs more education when the patient makes which of the following statements?

Correct Answer is A

Explanation

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