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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

Checking the blood pressure is not the priority action in this case. The symptoms described may suggest compartment syndrome, which is a medical emergency and requires immediate intervention.

Choice B rationale

The correct action is to notify the health care provider immediately as this may indicate compartment syndrome, a serious complication that can occur after fractures and can lead to permanent damage if not treated promptly.

Choice C rationale

Assessing the incision for redness is not appropriate in this scenario as the symptoms suggest a more severe underlying issue such as compartment syndrome, which requires urgent attention.

Choice D rationale

Repositioning the leg may provide temporary relief but does not address the potential underlying issue of compartment syndrome. The priority is to notify the health care provider.

A. Radiating pain to the left arm. B. Shortness of breath. C. Headache. D. Nausea and vomiting.

Correct Answer is A

Explanation

Choice A rationale

Radiating pain to the left arm is a classic symptom of a myocardial infarction (MI) due to referred pain from the heart.

Choice B rationale

Shortness of breath can also be associated with MI but is not as specific as radiating pain to the left arm.

Choice C rationale

Headache is not a typical symptom of an MI. It is more commonly associated with other conditions.

Choice D rationale

Nausea and vomiting can occur with an MI but are not as specific as radiating pain to the left arm.

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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

Correct Answer is B

Explanation

Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?

Correct Answer is A

Explanation

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