A client asks a nurse why COPD is considered a progressive condition. How should the nurse explain this concept?

"COPD is progressive because it primarily affects the heart and causes heart failure."

"Progression in COPD is related to a decrease in lung elasticity over time."

"COPD becomes more severe as a result of frequent viral infections."

"The progression of COPD is due to an increase in lung capacity."

Answer and Explanation

The Correct Answer is B

A) Incorrect. While heart failure can occur in severe cases of COPD, it is not the primary reason for the progression of the condition.

B) Correct. The progressive nature of COPD is mainly attributed to the loss of lung elasticity and airflow limitation over time.

C) Incorrect. While infections can exacerbate COPD symptoms, they are not the primary cause of disease progression.

D) Incorrect. An increase in lung capacity is not a characteristic of COPD progression; it typically involves reduced lung function.

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Correct Answer is A

Explanation

A) Correct. While a chest X-ray cannot diagnose COPD directly, it can reveal structural abnormalities and rule out other lung conditions, helping to confirm the presence and severity of COPD.

B) Incorrect. Chest X-rays focus on providing structural information about the lungs and are not used to evaluate lung function or airflow.

C) Incorrect. Identifying specific pathogens causing respiratory symptoms is typically done through microbiological tests, not chest X-rays.

D) Incorrect. The test for measuring oxygen and carbon dioxide levels in the blood is typically done through arterial blood gas (ABG) analysis, not a chest X-ray.

A. Bradycardia B. Pursed-lip breathing C. Cyanosis of the extremities D. Decreased respiratory rate

Correct Answer is B

Explanation

A) Incorrect. Bradycardia (slow heart rate) is not typically associated with increased work of breathing in COPD.

B) Correct. Pursed-lip breathing is a compensatory technique used by individuals with COPD to relieve air trapping and reduce the work of breathing.

C) Incorrect. Cyanosis of the extremities may occur with COPD but is not directly related to increased work of breathing.

D) Incorrect. Increased work of breathing typically leads to an increased respiratory rate, not a decreased rate.

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A client asks a nurse why COPD is considered a progressive condition. How should the nurse explain this concept?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is explaining the purpose of a chest X-ray to a client with suspected COPD. What should the nurse emphasize regarding the role of this diagnostic test?

Correct Answer is A

Explanation

A nurse is assessing a client with COPD. Which clinical manifestation should the nurse expect to find related to the increased work of breathing?

Correct Answer is B

Explanation

A nurse is discussing respiratory medications with a client with COPD. The client asks about the purpose of bronchodilators. What should the nurse explain?

A client with COPD complains of difficulty breathing and a feeling of not getting enough air. Which term should the nurse use to describe this sensation?

A client with COPD asks the nurse about the role of inflammation in their condition. What is the nurse's best response?

A client with COPD asks the nurse to explain why they experience shortness of breath. How should the nurse respond?

A client with COPD asks a nurse about pursed-lip breathing. What is the nurse's best response regarding the purpose of this breathing technique?

A nurse is discussing respiratory medications with a client with COPD. The client asks about the purpose of bronchodilators. What should the nurse explain?

A nurse is explaining the diagnostic evaluation for COPD to a client. Which test does the nurse emphasize as the primary diagnostic tool for assessing lung function in COPD?

A client with COPD is prescribed oxygen therapy. The client asks the nurse about the potential risks of oxygen use. What should the nurse include in the response?