Exam (elaborations)
NUR 195 TEST 1 Prep U quizzes with correct answers rated A+
- Course
- Hondros Nursing 195
- Institution
- Hondros College School Of Nursing
NUR 195 TEST 1 Prep U quizzes with correct answers rated A+
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NUR 195 TEST 1 Prep U quizzesFor a client with chronic obstructive pulmonary disease, which nursing intervention helps maintain a
patent airway? - correct answer ✔✔Teaching the client how to perform controlled coughing
Rationale: Controlled coughing helps maintain a patent airway by helping to mobilize and remove
secretions. A moderate fluid intake (usually 2 L or more daily) and moderate activity help liquefy and
mobilize secretions. Bed rest and sedatives may limit the client's ability to maintain a patent airway,
causing a high risk of infection from pooled secretions.
The nurse is planning the care of a complex elderly patient who has been admitted to the medical ward
for the treatment of cellulitis. The nurse notes that the patient has a longstanding history of chronic
obstructive pulmonary disease (COPD). What assessment finding would most clearly indicate the need
for oxygen therapy? - correct answer ✔✔SaO2 of 86% on room air
rationale: Crackles, coughing, and increased RR are all consistent with COPD. However, the decision on
whether to apply oxygen therapy is most commonly made on the basis of oxygen levels as determined
by pulse oximetry.
In chronic obstructive pulmonary disease (COPD), decreased carbon dioxide elimination results in
increased carbon dioxide tension in arterial blood, leading to which of the following acid-base
imbalances? - correct answer ✔✔Respiratory acidosis
rationale: Increased carbon dioxide tension in arterial blood leads to respiratory acidosis and chronic
respiratory failure. In acute illness, worsening hypercapnia can lead to acute respiratory failure. The
other acid-base imbalances would not correlate with COPD.
A client with chronic obstructive pulmonary disease (COPD) reports increased shortness of breath and
fatigue for 1 hour after awakening in the morning. Which of the following statements by the nurse would
best help with the client's shortness of breath and fatigue? - correct answer ✔✔"Delay self-care
activities for 1 hour."
rationale:
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