A client with chronic obstructive lung disease who is receiving oxygen at 1.5 L/minute by nasal cannula, is currently short of breath. Which action should the nurse take?

Have the client breathe into a paper bag.

Ask the client to take short, rapid breaths.

Instruct the client in pursed lip breathing.

Increase oxygen to three L/minute.

Answer and Explanation

The Correct Answer is C

A.   Having the client breathe into a paper bag is a technique sometimes used for anxiety-induced hyperventilation but is not appropriate for a client with chronic obstructive lung disease
experiencing shortness of breath. It can lead to a buildup of carbon dioxide, worsening the client's condition.
B.   Asking the client to take short, rapid breaths may exacerbate hyperventilation and increase the client's anxiety. This breathing pattern can lead to further respiratory distress in a client with
chronic obstructive lung disease.
C.   Instructing the client in pursed lip breathing is the most appropriate action. Pursed lip breathing helps to prolong exhalation, reduce air trapping, and improve gas exchange in clients with chronic obstructive lung disease. It can help alleviate shortness of breath and promote
relaxation.
D.   Increasing oxygen to three L/minute may not be necessary and could potentially lead to oxygen toxicity. The priority is to help the client manage their shortness of breath effectively through breathing techniques.

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Correct Answer is A

Explanation

A. "I can only give medical information to your child because the client is an adult.": This
response respects the client's autonomy and confidentiality as an adult and upholds legal and ethical principles regarding patient privacy.
B. "I'm sorry, but your child's medical information is none of your business.": This response is dismissive and disrespectful, violating the client's right to privacy and confidentiality.
C. "The healthcare provider will share this information with you.": While healthcare providers may share information with family members if the client consents or if it's deemed necessary for the client's care, this response does not address the legal and ethical considerations regarding patient confidentiality and autonomy.
D. "I can give you those results as soon as I get them back from the lab.": This response does not address the issue of patient confidentiality and may inadvertently disclose sensitive medical information without the client's consent.

Correct Answer is ["2"]

Explanation

The prescription requires a 10 mg dose of loratadine.

The bottle indicates the concentration is 5 mg per 5 mL.

One teaspoon is equivalent to approximately 5 mL.

Therefore, to achieve a 10 mg dose, the client would need 10 mg / 5 mg per teaspoon = 2 teaspoons.

The nurse should instruct the client to take 2 teaspoons of the loratadine suspension daily.

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A client with chronic obstructive lung disease who is receiving oxygen at 1.5 L/minute by nasal cannula, is currently short of breath. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 22-year-old client is admitted to the hospital in diabetic ketoacidosis (DKA. The client's parent is insisting to know the laboratory test results. Which is the best response for the nurse to provide?

Correct Answer is A

Explanation

A client receives a prescription for loratadine suspension 10 mg PO once a day. The bottle is labeled, "Loratadine for Oral Suspension, 5 mg per 5 mL." How many teaspoons should the nurse instruct the client to take? (Enter numerical value only.)

Correct Answer is ["2"]

Explanation

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