A client with end stage chronic obstructive pulmonary disease (COPD) is anxious with labored respirations, increasing dyspnea when attempting to talk, and reports a painful cough. Which intervention should the practical nurse (PN) implement?

Restrict family visitation.

Administer PRN opioid analgesic.

Apply a non-rebreather mask.

Place client in high fowler's position.

None

Answer and Explanation

The Correct Answer is D

A. Restrict family visitation: Family support may help anxiety; restriction is not helpful.
B. Administer PRN opioid analgesic: Opioids relieve pain and dyspnea in palliative care, improving comfort.
C. Apply a non-rebreather mask: Not appropriate for chronic CO₂ retainers; could worsen hypercapnia.
D. Place client in high Fowler's position: Helps breathing but does not address pain; could be done after pain relief.

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Correct Answer is A

Explanation

A. Remind the client to protect skin from sunlight: Photosensitivity increases the risk of sunburn; clients should avoid excessive sun exposure, wear protective clothing, and use sunscreen.
B. Monitor the client's temperature hourly x 4: Not directly related to photosensitivity; temperature monitoring is not required unless fever is expected.
C. Provide a snack rich in Vitamins C and D: Not a standard measure for photosensitivity prevention.
D. Dim the lights in the client's room for one hour: Indoor lighting does not typically trigger photosensitivity reactions.

A. Preferred activities or tokens for each compliance. B. Unit tasks for each omission of teeth brushing. C. Candy for each successful hygiene task, like brushing his teeth. D. Privilege restriction or fines for refusals to complete a hygienic task.

Correct Answer is A

Explanation

A. Preferred activities or tokens for each compliance:
Positive reinforcement, such as rewarding desired behavior with activities or tokens, is effective in behavior modification for intellectually disabled clients.

B. Unit tasks for each omission of teeth brushing:
This is a form of punishment and is not as effective in promoting long-term behavioral change as positive reinforcement.

C. Candy for each successful hygiene task, like brushing his teeth:
While it is a form of positive reinforcement, candy is not ideal due to the dental health focus of the task and potential nutritional concerns.

D. Privilege restriction or fines for refusals to complete a hygienic task:
Punitive measures are less effective and can increase resistance.

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A client with end stage chronic obstructive pulmonary disease (COPD) is anxious with labored respirations, increasing dyspnea when attempting to talk, and reports a painful cough. Which intervention should the practical nurse (PN) implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) administers an anticonvulsant that causes photosensitivity. Which action should the PN take after administering the medication?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

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