What is the purpose of a patient with COPD using an ipratropium inhaler?
To prevent bronchospasms and promote bronchodilation
To monitor blood pressure
To relieve nasal congestion
To reduce coughing
The Correct Answer is A
A. Preventing bronchospasms and promoting bronchodilation is correct. Ipratropium is an anticholinergic bronchodilator that relaxes airway muscles, reducing airway resistance and improving airflow in COPD patients.
B. Monitoring blood pressure is unrelated to ipratropium use. It primarily acts on the respiratory system, not the cardiovascular system.
C. Relieving nasal congestion is incorrect in this context, though ipratropium nasal spray can be used for rhinorrhea.
D. Reducing coughing is not the primary purpose. While bronchodilation may indirectly reduce cough by improving airflow, it is not a cough suppressant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Stress testing evaluates cardiac function and ischemia but is not used to diagnose a pulmonary embolism (PE).
B. D-Dimer is correct. D-Dimer is a blood test that detects fibrin degradation products, which are elevated when a blood clot forms and breaks down, making it a useful screening test for pulmonary embolism. However, a positive D-Dimer is not diagnostic, and further imaging (e.g., CT pulmonary angiography) is required.
C. Electrocardiogram (ECG) may show changes (e.g., sinus tachycardia, right heart strain) but does not confirm PE.
D. Pulmonary function testing assesses lung diseases like COPD or asthma but is not used to diagnose PE.
Correct Answer is D
Explanation
A. Dizziness is more commonly associated with left-sided heart failure due to decreased cardiac output and reduced cerebral perfusion.
B. Crackles in the lungs occur in left-sided heart failure due to pulmonary congestion. Right-sided heart failure primarily affects systemic circulation rather than the lungs.
C. A dry hacking cough is also a symptom of left-sided heart failure, resulting from fluid backup into the lungs.
D. Hepatomegaly is correct. Right-sided heart failure leads to systemic venous congestion, which can cause liver enlargement (hepatomegaly), ascites, and peripheral edema.
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