Oxygenation

What is the therapeutic goal when managing the care of a client with chronic obstructive pulmonary disease?

• Maintaining functional ability

• Minimizing chest pain

• Increasing carbon dioxide levels in the blood

• Treating infections

What is the primary reason to teach pursed-lip breathing to clients with chronic obstructive pulmonary disease?

• To promote carbon dioxide elimination

• To promote oxygen intake

• To strengthen the diaphragm

• To strengthen the intercostal muscles

Which physical assessment finding would the nurse expect to find in a client with advanced chronic obstructive pulmonary disease?

• Underdeveloped neck muscles

• Collapsed neck veins

• Increased anteroposterior chest diameter

• Increased chest excursions with respirations

A nurse teaches a client about the use of a respiratory inhaler. Which action by the client indicates a need for further teaching?

• Inhales the mist then exhales immediately

• Removes the cap and shakes the inhaler well before use

• Presses the canister down with finger while breathing in

• Waits several minutes between puffs if more than one puff is prescribed

A client with severe chronic obstructive pulmonary disease is being discharged home on oxygen. The discharge instructions state that the client should never set the oxygen to deliver more than 3L/minute. What is the rationale for this order for this client?

• High oxygen levels prevent metabolic excretion of bicarbonate

• The client’s respiratory drive is dependent on his oxygen level

• If the oxygen is too high, the client’s carbon dioxide level may become too low

• High carbon dioxide levels will decrease the need for supplemental oxygen

Tags

NGSS.HS-LS1-3

An order is written for oxygen for a client with respiratory distress. Which diagnostic test most accurately evaluates the effectiveness of oxygen therapy?

• Pulmonary function tests

• Peak flow reading

• Ventilation perfusion scan

• Arterial blood gases

The nurse is providing care to a patient with COPD. Which is the appropriate intervention when the patient complains of a frequent need to cough?

• Monitor I/O and decrease oral fluid intake

• Administer an antihistamine as needed

• Instruct on effective coughing techniques

• Request a cough suppressant be ordered

Which nursing action is appropriate for the client with a history of chronic obstructive pulmonary disease (COPD) who presents with bilateral crackles in the lower lung fields?

• Encourage deep breathing and coughing

• Encourage client to consume 5-6 high carbohydrate meals per day

• Administer oxygen as ordered

• Encourage client to maintain bedrest

The patient with chronic obstructive pulmonary disease (COPD) is given discharge instructions regarding nutritional support. Which statement indicates the patient understands the instructions?

• "I will select most of my foods from the carbohydrates."

• "I will increase my fluid intake, especially at mealtime."

• "I should eat five or six small meals every day."

• "I should schedule my exercise and breathing treatment immediately after meals."

The nurse is providing care to a client recently diagnosed with chronic obstructive pulmonary disease (COPD). The client’s family asks how their loved one got this disease. Which risk factors for COPD will the nurse include in the teaching session?

• Asthma and bronchitis

• Asthma and emphysema

• Bronchitis and emphysema

• Emphysema and atelectasis