A client has chronic obstructive pulmonary disease (COPD) and right-sided heart failure. Which statement by the nurse is correct?

"Eat six small meals a day to limit oxygen needs."

"Increase the intake of protein to decrease intravascular hydrostatic pressure."

"Drink large amounts of fluid to help liquefy secretions."

"Lie down after eating to conserve energy needed for digestion."

Answer and Explanation

The Correct Answer is A

A. Eating six small meals a day prevents excessive oxygen demand during digestion and reduces bloating, which can impair breathing.
B. Protein intake is important, but it does not directly impact intravascular hydrostatic pressure in a way that would help with COPD and right-sided heart failure.
C. While adequate hydration is necessary, excessive fluid intake can worsen right-sided heart failure by increasing fluid retention and edema.
D. Lying down after eating can worsen dyspnea and lead to reflux, which is not advisable for COPD patients.

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Correct Answer is ["120"]

Explanation

 Convert pounds to kilograms:

176 pounds / 2.2 pounds/kg = 80 kg

 Calculate the enoxaparin dose:

80 kg 1.5 mg/kg = 120 mg

 Round to the nearest whole number:

120 mg

A. Encouraging the client to drink 2 to 3 L of water daily B. Maintaining a semi-Fowler's position as often as possible C. Administering oxygen via nasal cannula at 2 L/min D. Helping the client select a low-salt diet

Correct Answer is A

Explanation

A. Adequate hydration helps thin mucus secretions, making them easier to expectorate. Drinking 2 to 3 L of water daily is recommended unless contraindicated by another condition.
B. Semi-Fowler's position can help with breathing but does not directly aid in thinning secretions.
C. Oxygen therapy helps with oxygenation but does not address thick mucus.
D. A low-salt diet may be beneficial for overall health but does not directly impact mucus consistency.

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A client has chronic obstructive pulmonary disease (COPD) and right-sided heart failure. Which statement by the nurse is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a pulmonary embolism and has a new order for enoxaparin 1.5 mg/kg/dose to be administered subcutaneously every 12 hours. The client weighs 176 pounds. How many mg should the nurse administer per dose? (Round to the nearest whole number)

Correct Answer is ["120"]

Explanation

Correct Answer is A

Explanation

The emergency room nurse is assessing a client with jugular venous distention, ascites, shortness of breath, and a 3-pound weight gain in the past 24 hours. Which of the following would the nurse anticipate being ordered?

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