A patient with severe chronic obstructive pulmonary disease (COPD) tells the nurse, I wish I were dead I'm just a burden on everybody. Based on this information, which nursing diagnosis is most appropriate?
a. Complicated grieving related to expectation of death
b. Ineffective coping related to unknown outcome of illness
c. Deficient knowledge related to lack of education about COPD
d. Chronic low self-esteem related to increased physical dependence
Question 2The nurse develops a teaching plan to help increase activity tolerance at home for an older adult with severe chronic obstructive pulmonary disease (COPD). Which instructions would be most appropriate for the nurse to include in the plan of care?
a. Stop exercising when short of breath.
b. Walk until pulse rate exceeds 130 beats/minute.
c. Limit exercise to activities of daily living (ADLs).
d. Walk 15 to 20 minutes daily at least 3 times/week.
Question 3Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic bronchitis. Which intervention should the nurse include in the plan of care?
a. Schedule the procedure 1 hour after the patient eats.
b. Maintain the patient in the lateral position for 20 minutes.
c. Perform percussion before assisting the patient to the drainage position.
d. Give the ordered albuterol (Proventil) before the patient receives the therapy.
Question 4A patient is receiving 35 oxygen via a Venturi mask. To ensure the correct amount of oxygen delivery, which action by the nurse is most important?
a. Teach the patient to keep mask on at all times.
b. Keep the air entrainment ports clean and unobstructed.
c. Give a high enough flow rate to keep the bag from collapsing.
d. Drain moisture condensation from the oxygen tubing every hour.
Question 5A patient hospitalized with chronic obstructive pulmonary disease (COPD) is being discharged home on oxygen therapy. Which instruction should the nurse include in the discharge teaching?
a. Storage of oxygen tanks will require adequate space in the home.
b. Travel opportunities will be limited because of the use of oxygen.
c. Oxygen flow should be increased if the patient has more dyspnea.
d. Oxygen use can improve the patient's prognosis and quality of life.
Question 6The nurse is admitting a patient diagnosed with an acute exacerbation of chronic obstructive pulmonary disease (COPD).What is the best way for the nurse to determine the appropriate oxygen flow rate?
a. Minimize oxygen use to avoid oxygen dependency.
b. Maintain the pulse oximetry level at 90 or greater.
c. Administer oxygen according to the patient's level of dyspnea.
d. Avoid administration of oxygen at a rate of more than 2 L/minute.
Question 7The nurse is caring for a patient with cor pulmonale. The nurse should monitor the patient for which expected finding?
a. Peripheral edema
b. Elevated temperature
c. Clubbing of the fingers
d. Complaints of chest pain
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