64) A nurses assessment reveals that a client with COPD may be experiencing bronchospasm. What assessment finding would suggest that the patient is experiencing bronchospasm?A)Fine or coarse crackles on auscultationB)Wheezes or diminished breath sounds on auscultationC)Reduced respiratory rate or lethargyD)Slow, deliberate respirationsAns:BFeedback:Wheezing and diminished breath sounds are consistent with bronchospasm. Crackles are usually attributable to other respiratory or cardiac pathologies. Bronchospasm usually results in rapid, inefficient breathing and agitation.65) The case manager for a group of patients with COPD is providing health education. What is most important for the nurse to assess when providing instructions on self-management to these patients?
When providing instructions about self-management, it is important for the nurse to assess the knowledge of patients and family members about self-care and the therapeutic regimen. This supersedes knowledge of alternative treatments or the pathophysiology of the disease, neither of which is absolutely necessary for patients to know. The patients own knowledge is more important than that of the family.66) A nurse is developing a teaching plan for a patient with COPD. What should the nurse include as the most important area of teaching?Setting and accepting realistic short- and long-range goalsAdopting a lifestyle of moderate activityAvoiding emotional disturbances and stressful situations67) A nurse is admitting a new patient who has been admitted with a diagnosisof COPD exacerbation. How can the nurse best help the patient achieve the goal of maintaining effective oxygenation?Teach the patient strategies for promoting diaphragmatic breathing.Administer supplementary oxygen by
simple face mask.