A client with COPD should receive only 1-2 liters per minute of oxygen, if needed, or they may lose their hypoxic drive. Which of the following statements is correct about hypoxic drive?

The client breathes only when their oxygen levels climb above a certain point.

The client breathes only when their carbon dioxide levels climb above a certain point.

The client doesn't notice they need to breathe.

The client breathes only when their oxygen levels dip below a certain point.

Answer and Explanation

The Correct Answer is D

Choice A reason: This statement is incorrect because it suggests that higher oxygen levels trigger breathing, which is not the case in hypoxic drive.

Choice B reason: While carbon dioxide levels do influence breathing, this statement is not accurate in the context of hypoxic drive, which is specifically about oxygen levels.

Choice C reason: This choice is incorrect because the client does notice the need to breathe, but the trigger is low oxygen rather than high carbon dioxide levels.

Choice D reason: This is correct. In clients with COPD, chronic high levels of carbon dioxide can lead to a reliance on low oxygen levels to stimulate breathing.

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Correct Answer is C

Explanation

Choice A reason: Direct communication with the surgeon can provide the patient with reassurance and specific information about the surgery, which may alleviate fears.

Choice B reason: Offering spiritual support may be helpful, but it does not directly address the patient's concern about the surgery itself.

Choice C reason: Providing statistics may be reassuring, but it may not fully address the patient's individual fears.

Choice D reason: Recommending analgesics only addresses pain management and not the patient's expressed fear regarding the surgery.

A. Informed consent. B. Time out. C. Patient history. D. Pre-op checklist.

Correct Answer is A

Explanation

Choice A reason: Informed consent is obtained when a patient agrees to a procedure after understanding its risks and benefits, which is what Melva provided.

Choice B reason: A time out is a final review before surgery to ensure correct patient identity, procedure, and site, which is not described here.

Choice C reason: Patient history refers to the collection of a patient's medical background, which is not the focus in this scenario.

Choice D reason: The pre-op checklist is a list of tasks to be completed before surgery, not a discussion of the procedure itself.

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A client with COPD should receive only 1-2 liters per minute of oxygen, if needed, or they may lose their hypoxic drive. Which of the following statements is correct about hypoxic drive?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assisting in the care of a preoperative patient who states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

Correct Answer is C

Explanation

Melva is scheduled for an elective surgery. The surgeon comes to the preoperative area to review the surgical procedure with her. Alternatives are discussed, along with the benefits and risks associated with the surgery. Melva says she understands everything. This is:

Correct Answer is A

Explanation

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