Long-term oxygen therapy has been prescribed for a patient whose chronic obstructive pulmonary disease (COPD) has recently increased in severity. When teaching this patient about this treatment modality, what information should the nurse provide?
A) In time, you will learn to effectively adjust your flow rates depending on the dyspnea you are experiencing or that you anticipate.
B) It's important to use your oxygen as ordered and not to base it solely on your shortness of breath at the time.
C) A good rule of thumb is to temporarily stop your oxygen whenever you feel like you could comfortably go without it.
D) Try to predict those situations where you'll need oxygen and apply your nasal prongs 30 minutes ahead of time.
Question 2A patient's neurological status deteriorates over hours, and a craniotomy is performed to evacuate the hematoma. Which nursing intervention is indicated to help decrease the threat of increased intracranial pressure?
a. Elevate the head of the bed 30 degrees.
b. Cluster nursing interventions to provide uninterrupted periods of rest.
c. Teach him to cough and deep breathe to prevent the necessity for suctioning.
d. Teach him to hold his breath and bear down while repositioning in bed.
Question 3Mrs. Fawcett is a 70-year-old woman who has a diagnosis of emphysema and who receives long-term oxygen therapy.
She has presented to the emergency department because she states that she is experiencing an exacerbation of her chronic obstructive pulmonary disease (COPD), and she is in visible respiratory distress. How can the nurse best assess Mrs. Fawcett's dyspnea?
A) Observe her activity tolerance and assess her skin tone.
B) Measure her SpO2 by pulse oximetry and assess her respiratory rate.
C) Auscultate her anterior and posterior lung fields.
D) Ask her to rate her shortness of breath on a scale of 0 to 10.
Question 4A patient has recently suffered a stroke with left-sided weakness. She has problems with choking, especially when she drinks thin liquids. What nursing interventions would be most helpful in assisting this patient to swallow safely?
a. Having her avoid all liquids
b. Instructing her to tuck her chin when swallowing
c. Giving her sips of water with each bite
d. Having her turn her head to the left
Question 5The husband of a 78-year-old postsurgical patient has approached the nurse, upset that his wife has become incontinent of urine during her hospital stay.
The husband states that this is without precedent and he is adamant that the matter be looked into further. The nurse would recognize that which of the following factors may have contributed to this course of events? A) Age-related changes to genitourinary function
B) Sensory deprivation
C) Changes in diet since admission to the hospital
D) Sedative effects of medications
Question 6The 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?
A) SaO2 of 86 on room air
B) Respiratory rate (RR) of 25 breaths per minute at rest
C) Presence of bilateral fine crackles to lower lung fields on auscultation
D) Presence of an occasional productive cough
Quick Reply
