Nokea
A 78-year-old patient is scheduled for transition to home after treatment for heart disease. The patient's spouse, who has chronic obstructive pulmonary disease, plans to care for the patient at home. The spouse says that their grown children, who live nearby, will help. The best approach to discharge planning is to
- A. arrange nursing home placement for the couple.
- B. consult the spouse's healthcare provider about the spouse's ability to care for the patient.
- C. contact the children to ascertain their commitment to help.
- D. discuss community resources with the spouse and offer to make referrals.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Correct Answer: D
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- A. I held the client's morning bronchodilator medication.
- B. The client is ready to go down to radiology for this examination.
- C. Physical therapy states the client can run on a treadmill.
- D. I advised the client not to smoke for 6 hours prior to the test.
Correct Answer: B
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During a preoperative physical examination, the nurse is alerted to the possibility of compromised respiratory function during or after surgery in a patient with which problem?
- A. Obesity
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- C. Enlarged liver
- D. Decreased peripheral pulses
Correct Answer: A
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- A. Metastasis.
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Correct Answer: C
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A client with chronic obstructive pulmonary disease (COPD) is being assessed by a nurse. Which finding does the nurse expect?
- A. Increased anteroposterior (AP) chest diameter
- B. Decreased respiratory rate
- C. Weight gain
- D. Productive cough with yellow sputum
Correct Answer: A
Rationale: The correct answer is A: Increased anteroposterior (AP) chest diameter. In COPD, the chronic obstruction of airflow leads to air trapping in the lungs, causing the chest to expand more front-to-back (increased AP diameter). This is known as "barrel chest" and is a characteristic finding in COPD due to hyperinflation of the lungs.
Incorrect choices:
B: Decreased respiratory rate is not expected in COPD as patients may have increased respiratory rate due to difficulty breathing.
C: Weight gain is not a typical finding in COPD as patients often experience weight loss due to increased energy expenditure and decreased appetite.
D: Productive cough with yellow sputum is common in COPD, but it is not the most specific finding for this condition.