Nokea
A patient is newly diagnosed with COPD due to chronic bronchitis. You're providing education to the patient about this disease process. Which statement by the patient indicates they understood your teaching about this condition?
- A. If I stop smoking, it will cure my condition.'
- B. Complications from this condition can lead to pulmonary hypertension and right-sided heart failure.'
- C. I'm at risk for low levels of red blood cells due to hypoxia and may require blood transfusions during acute illnesses.'
- D. My respiratory system is stimulated to breathe due to high carbon dioxide levels rather than low oxygen levels.'
Correct Answer: B
Rationale: Chronic bronchitis can lead to pulmonary hypertension and right-sided heart failure due to chronic hypoxemia. Smoking cessation slows progression but doesn't cure, low RBCs are not typical, and CO2 drive applies to severe cases.
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A client asks the nurse why inspiration through the nose is preferable to inspiring through the mouth. What is the best response?
- A. It produces greater blood oxygen levels.
- B. It is easier to breathe through the nose.
- C. The nares humidify, warm, and filter the air.
- D. Mouth breathing dilutes the air and reduces the amount of air entering the lungs.
Correct Answer: C
Rationale: The nares humidify, warm, and filter air, improving its quality for respiration.
Before suctioning, the nurse attaches a pulse oximeter to the client's finger. Which nursing actions are appropriate at this time? Select all that apply.
- A. Remove the client's fingernail polish.
- B. Place the sensor and receiver opposite to each other on the client's finger.
- C. Connect the cable to the oximeter.
- D. Set the SpO2 alarms between 95% and 100%.
- E. Notify the physician each time an alarm sounds.
- F. Relocate the spring-loaded sensor periodically.
Correct Answer: A, B, C, F
Rationale: Removing nail polish, positioning the sensor correctly, connecting the cable, and relocating the sensor periodically ensure accurate pulse oximetry readings.
When caring for a client with allergies, which nursing assessment finding is an early indication that the client is developing anaphylaxis?
- A. Breathing difficulty
- B. Headache
- C. Sore throat
- D. Cool, pale skin
Correct Answer: A
Rationale: Breathing difficulty is an early sign of anaphylaxis, indicating airway constriction or swelling, which requires immediate intervention.
The nurse advises the client to make sure to take the entire antibiotic prescription because an untreated or undertreated streptococcal infection can lead to which of the following conditions?
- A. Glomerulonephritis
- B. Chickenpox
- C. Shingles
- D. Whooping cough
Correct Answer: A
Rationale: Untreated group A streptococcal infections can lead to complications like glomerulonephritis, a condition affecting the kidneys, due to an immune response.
The best evidence that the client understands the procedure for a pulmonary function test is when stating that it involves which action?
- A. Having an X-ray taken
- B. Drawing a blood specimen
- C. Breathing into a mouthpiece
- D. Examining expectorated sputum
Correct Answer: C
Rationale: Pulmonary function tests involve breathing into a mouthpiece to measure lung capacity and airflow.