Nokea
A client with emphysema is being assessed by a nurse. Which clinical manifestation should the nurse expect?
- A. Decreased chest expansion
- B. Cyanosis
- C. Pursed-lip breathing
- D. Bradypnea
Correct Answer: C
Rationale: The correct answer is C: Pursed-lip breathing. In emphysema, air becomes trapped in the lungs due to damaged air sacs, making it difficult to exhale. Pursed-lip breathing helps to prolong exhalation, preventing air trapping. Decreased chest expansion (A) is more indicative of conditions like pleural effusion. Cyanosis (B) is a sign of inadequate oxygenation, which is not a primary manifestation of emphysema. Bradypnea (D) refers to slow breathing rate, which is not typically associated with emphysema. Pursed-lip breathing is a characteristic and effective coping mechanism seen in clients with emphysema.
You may also like to solve these questions
This patient should be prioritized into which category?
- A. High urgent
- B. Urgent
- C. Non-urgent
- D. Emergent
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with chronic obstructive pulmonary disease (COPD) is receiving nutrition education. Which nutrition information should the nurse include in this client's teaching? (Select ONE that does not apply)
- A. Avoid drinking fluids just before and during meals.
- B. Rest before meals if you have dyspnea.
- C. Have about six small meals a day.
- D. Eat high-fiber foods to promote gastric emptying.
Correct Answer: D
Rationale: The correct answer is D: Eat high-fiber foods to promote gastric emptying. Clients with COPD often have decreased appetite and energy expenditure, making it challenging to consume high-fiber foods. This can lead to bloating and increased work of breathing. High-fiber foods can also cause delayed gastric emptying, which can exacerbate symptoms of dyspnea and discomfort in COPD patients. Therefore, it is important for clients with COPD to focus on easily digestible and nutrient-dense foods to support their nutritional needs.
Avoid drinking fluids just before and during meals (A) is important to prevent excessive fullness and bloating, Rest before meals if you have dyspnea (B) is essential to conserve energy and optimize breathing during meals, and having about six small meals a day (C) can help maintain energy levels without overwhelming the respiratory system.
A client with dyspnea and difficulty climbing stairs is classified as having class III dyspnea. Which intervention should the nurse include in the client's plan of care?
- A. Assistance with activities of daily living.
- B. Daily physical therapy activities.
- C. Oxygen therapy at 2 liters per nasal cannula.
- D. Complete bedrest with frequent repositioning.
Correct Answer: A
Rationale: The correct answer is A: Assistance with activities of daily living. Class III dyspnea signifies moderate exertion causing symptoms. Therefore, the client may need help with daily activities to conserve energy. Daily physical therapy (B) may be too strenuous. Oxygen therapy (C) may not be necessary at this point. Complete bedrest (D) can lead to deconditioning.
How will recognizing that clients have different perceptions of time assist the nurse to provide more sensitive care?
- A. Adapting care plans to accommodate varying time perspectives.
- B. Enforcing strict schedules regardless of cultural differences.
- C. Ignoring time-related preferences.
- D. None of the above.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the technique called that manages tremors caused by Parkinson's disease?
- A. Deep brain stimulation
- B. Transcranial magnetic stimulation
- C. Vagus nerve stimulation
- D. Electroconvulsive therapy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.