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A.Absence of dyspneaB.Improved mental statusC.Effective and productive coughingD.PaO2 within normal range for the patient
+When caring for a patient with chronic obstructive pulmonary disease (COPD), the nurse identifies a nursing diagnosis of imbalanced nutrition: less than body requirements after noting a weight loss of 30 lb. Which intervention should the nurse add to the plan of care for this patient?A.Order fruits and fruit juices to be offered between mealsB.Order a high-calorie, high-protein diet with six small meals a dayC.Teach the patient to use frozen meals at home that can be microwavedD.Provide a high-calorie, high-carbohydrate, non-irritating, frequent feeding diet
+The nurse teaches pursed lip breathing to a patient who is newly diagnosed with chronic obstructive pulmonary disease (COPD). The nurse reinforces that this technique will assist respiration by which mechanism?A.Loosening secretions so that they may be coughed up more easilyB.Promoting maximal inhalation for better oxygenation of the lungsC.Preventing bronchial collapse and air trapping in the lungs during exhalationD.Increasing the respiratory rate and giving the patient control of respiratory patterns
+The nurse evaluates that a patient is experiencing the expected beneficial effects of ipratropium (Atrovent) after noting which assessment finding?A.Decreased respiratory rateB.Increased respiratory rateC.Increased peak flow readingsD.Decreased sputum production
+The nurse is caring for a patient hospitalized with acute exacerbation of COPD. Which findings would the nurse expect to note on assessment? Select all that applyA.A low arterial pCO2 levelB.A hyper-inflated chest noted on the chest x-rayC.Decreased oxygen saturation with mild exerciseD.A widened diaphragm noted on the chest x-rayE.Pulmonary function tests that demonstrate increased vital capacity
+The nurse instructs the patient to use the pursed-lip method of breathing and evaluates the teaching by asking the patient about the purpose of this type of breathing. The nurse determines the patient understands if the patient states that the primarypurpose of pursed-lip breathing is to promote what outcome?A.Promote oxygen intakeB.Strengthen the diaphragmC.Strengthen the intercostal musclesD.Promote carbon dioxide elimination
+The nurse is instructing a hospitalized patient with a diagnosis of emphysema about measures that will enhance the effectiveness of breathing during dyspneic periods. Which position should the nurse instruct the patient to assume?A.Sitting up in bedB.Side-lying in bedC.Sitting in a recliner chairD.Sitting up and leaning on an over-bed table
+The nurse teaches a female patient who has frequent UTIs that she shouldA.