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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Providing health recommendations is important, but the immediate concern is addressing the client's fear.
B. Encouraging the client to express emotions allows the nurse to assess and provide appropriate emotional support.
C. Dismissing the client's fears can make them feel unheard and may increase anxiety.
D. Referring the client to the physician too soon may shut down communication and miss an opportunity for emotional support.

A. Ascites B. Edema in the legs and feet C. Crackles in the lungs D. Confusion E. Exertional dyspnea

Correct Answer is ["C","D","E"]

Explanation

A. Ascites is more commonly associated with right-sided heart failure. Right-sided failure leads to systemic congestion, causing fluid accumulation in the abdomen.
B. Edema in the legs and feet is a symptom of right-sided heart failure. Left-sided failure primarily affects the lungs, while right-sided failure leads to peripheral edema.
C. Crackles in the lungs are expected in left-sided heart failure. Pulmonary congestion results from blood backing up into the lungs, leading to fluid accumulation in the alveoli.
D. Confusion can occur due to decreased cardiac output and poor oxygenation to the brain. Clients with severe heart failure may experience cognitive changes or altered mental status.
E. Exertional dyspnea is a hallmark of left-sided heart failure. The inability of the left ventricle to pump effectively leads to pulmonary congestion, making breathing difficult during physical activity.

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What is the purpose of a patient with COPD using an ipratropium inhaler?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is caring for a client with a diagnosis of left-sided heart failure. The nurse expects what assessment findings associated with left-sided heart failure? (Select All that Apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse in a provider's clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client reports getting a headache each time he takes the medication. Which of the following statements should the nurse make?

A nurse is admitting a client who has a history of heart failure. Exhibits Check the 5 findings that require immediate follow-up.

The nurse and unlicensed assistive personnel (UAP) are caring for an elderly client diagnosed with emphysema. Which nursing tasks could be delegated to the UAP to improve gas exchange? (Select All that Apply)

What is the underlying rationale for why a nurse assesses a client with emphysema for clinical indicators of hypoxia?

A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect?

The nurse is educating a client about the treatment options for a pulmonary embolism. Which of the following statements would require further teaching?

The nurse is caring for a client status/post a Myocardial Infarction who is questioning procedures utilized for treatment. Which of the following statements correctly explains a Coronary Artery Bypass Grafting (CABG)?

Which statement indicates to the nurse the client diagnosed with sleep apnea needs further teaching?