The nurse is caring for a client who is in the hospital for exacerbation of emphysema symptoms. The nurse notes shortness of breath and tachypnea. Which of the following actions is most appropriate in response to this?
The nurse is assessing a client in the emergency department who states, “I have COPD and usually require 2L of oxygen. I was eating yesterday and choked on a piece of ham and have been coughing ever since, like it’s stuck in my throat. Now I feel like I have been needing more oxygen, so I have turned my tank up to 5L.” Which part of this statement is priority and needs to be immediately investigated?
A client with acute bronchospasm and a history of diabetes mellitus, coronary artery disease, and chronic obstructive pulmonary disease is admitted to the unit and started on IV theophylline. The client begins to complain of a fluttering feeling in the chest. The nurse checks the client’s vital signs and notes a pulse of 135, blood pressure 130/88, respiratory rate 22, oxygen sat 90%. Which action by the nurse is most appropriate?
A client with COPD is receiving care at the primary provider’s clinic with worsening of symptoms of emphysema. The provider orders an outpatient chest x-ray to determine if there have been any changes in lung structure. Which best describes what would show on a chest x-ray in the later stages of emphysema?
A client with COPD is being seen in the primary care clinic for evaluation. During the assessment, the nurse asks the client medical history questions. Which of the following would most likely reveal whether a client is behaving in a way that works against the client’s treatment plan?
The nurse knows that which of the following are risk factors for chronic obstructive pulmonary disease (COPD)? Select all that apply.
A client in the hospital lacks the resources for obtaining medical equipment that is needed for the client’s COPD. Which action best describes the role of the case management nurse in this situation?
A 60-year-old client is going through pulmonary rehabilitation for COPD. The nurse understands that an expected outcome of pulmonary rehabilitation is which of the following?
Which best describes the purpose of pursed-lip breathing in the client with COPD?
A 68-year-old client with COPD is being seen for pulmonary rehabilitation. The nurse is instructing the client on exercise guidelines for managing the disease. Which information must the nurse include as part of exercise guidelines for this client?
