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Which outcome is appropriate for the client problem of "ineffective gas exchange" for the client diagnosed with chronic obstructive pulmonary disease (COPD)?

Reduced bronchospasm.

Decreased breathlessness.

Increased carbon dioxide retention.

Improved oxygen saturation levels.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Reduced bronchospasm is a beneficial outcome for COPD, but it is not the primary outcome related to gas exchange.

Choice B rationale

Decreased breathlessness is a positive outcome for COPD, but it is not directly related to gas exchange.

Choice C rationale

Increased carbon dioxide retention is a negative outcome and indicates worsening of gas exchange.

Choice D rationale

Improved oxygen saturation levels are a direct and measurable outcome of effective gas exchange and indicate better oxygenation in COPD patients.

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Correct Answer is B

Explanation

Choice A rationale

Hypertension is not typically a sign of heart failure related to cor pulmonale. It is more associated with systemic issues rather than pulmonary complications.

Choice B rationale

Peripheral edema is a common sign of heart failure and cor pulmonale due to increased pressure in the venous system, leading to fluid accumulation in the tissues.

Choice C rationale

Increased respiratory rate may occur but is not specific to heart failure in cor pulmonale.

Choice D rationale

Cough with pink-tinged sputum is more indicative of pulmonary edema related to left-sided heart failure rather than cor pulmonale.

A. Dysuria. B. Nasal congestion. C. Joint pain. D. Shortness of breath.

Correct Answer is A

Explanation

Choice A rationale

Dysuria, or painful urination, is a common symptom of acute cystitis (bladder infection). Clients with acute cystitis often report burning sensations during urination and frequent urges to urinate.

Choice B rationale

Nasal congestion is not a symptom associated with acute cystitis. It is more commonly related to respiratory conditions like colds or allergies.

Choice C rationale

Joint pain is not related to acute cystitis. Joint pain can be associated with various musculoskeletal or autoimmune conditions, but not typically with a bladder infection.

Choice D rationale

Shortness of breath is not a symptom of acute cystitis. This symptom is more relevant to respiratory or cardiovascular conditions, not bladder infections.

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Which outcome is appropriate for the client problem of "ineffective gas exchange" for the client diagnosed with chronic obstructive pulmonary disease (COPD)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale.The nurse should monitor the patient for which expected finding if heart failure is present?

Correct Answer is B

Explanation

A 24-year-old female client comes to the ambulatory care center in moderate distress with a probable diagnosis of acute cystitis.Which symptom should the nurse expect the client to report during the assessment?

Correct Answer is A

Explanation

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