A nurse is admitting a client with an exacerbation of chronic obstructive pulmonary disease.

What signs would the nurse expect to observe with this client? Select all that apply.

A BMI greater than 30%.

Clubbing in upper digits.

AP chest diameter of 1:1.

Tripod positioning.

High amounts of energy.

Answer and Explanation

Correct Answer : B,D

Clubbing in upper digits and tripod positioning are signs of chronic obstructive pulmonary disease (COPD), a respiratory disorder that has components of chronic bronchitis and emphysema. Clubbing is a thickening and widening of the fingertips and nails due to chronic low oxygen levels in the blood. Tripod positioning is when the person leans forward and supports their arms on a table or chair to facilitate breathing.

Choice A is wrong because a BMI greater than 30% indicates obesity, which is not a specific sign of COPD, although it can worsen the condition.

Choice C is wrong because AP chest diameter of 1:1 means that the chest is as wide as it is deep, which is also known as barrel chest. This is a sign of emphysema, one of the components of COPD, but not of COPD itself.

Choice E is wrong because high amounts of energy are not associated with COPD. On the contrary, people with COPD often experience fatigue, weakness, and reduced exercise tolerance due to impaired gas exchange and respiratory muscle function.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

The nurse should hold and notify the prescriber because hydrochlorothiazide is a diuretic that can lower the serum potassium level. The client already has a high serum potassium level of 5.2 mmol/L, which is above the normal range of 3.5 to 5.0 mmol/L.

Giving hydrochlorothiazide could worsen the client’s condition and cause hypokalemia.

Choice A is wrong because metoprolol is a beta-blocker that can lower the blood pressure and heart rate.

The client’s blood pressure and heart rate are not given, so there is no reason to hold metoprolol based on the information provided.

Choice C is wrong because enoxaparin is an anticoagulant that can prevent blood clots. The client has a low platelet count of 98,000/mm, which is below the normal range of 150,000 to 450,000/mm.

However, this does not contraindicate the use of enoxaparin, unless the client has signs of bleeding or bruising.

Choice D is wrong because atorvastatin is a statin that can lower the serum cholesterol

level. The client has a high serum cholesterol level of 250 mg/dL, which is above the desirable level of less than 200 mg/dL.

Giving atorvastatin could help reduce the client’s risk of cardiovascular complications.

A. “Only the client’s health care provider is authorized to release that information.”. B. “I can confirm that the client is on the unit but no diagnosis has been made.”. C. “I don’t know because tests are still being run on the client.”. D. “You need to speak to the designated hospital contact.”.

Correct Answer is D

Explanation

You need to speak to the designated hospital contact. This is because the nurse has a duty to protect the client’s privacy and confidentiality, and cannot disclose any information about the client’s diagnosis or condition to the reporter without the client’s consent.

The nurse should refer the reporter to the hospital’s public relations department or spokesperson, who is authorized to handle such inquiries.

Choice A is wrong because it implies that the client’s healthcare provider can release the information without the client’s consent, which is not true.

Choice B is wrong because it confirms that the client is on the unit, which is a violation of the client’s privacy.

Choice C is wrong because it gives false information about the client’s status, which is unethical and unprofessional.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is admitting a client with an exacerbation of chronic obstructive pulmonary disease. What signs would the nurse expect to observe with this client? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A television reporter calls the nursing unit requesting an update on the status of an elected official from the community who was admitted to the unit. Which statement is the most appropriate response by the nurse when the reporter requests the official diagnosis?

Correct Answer is D

Explanation

What does the nurse know to be the goals of client teaching? (Select all that apply).

A client with terminal cancer is admitted to hospice care. The daughter is documented as the client’s health care proxy agent. Which statement made by the nurse demonstrates an understanding of health care proxy and care?

A nurse enters a client’s room and finds the client’s gown is on fire. Which is the nurse’s priority action?

The nurse is caring for a client at risk for a respiratory infection. Which of the following natural respiratory defense mechanisms help defend against infection? (Select all that apply).

A client asks a nurse, “Why do I have to remove my nail polish in order for my pulse oximetry to be monitored?” Which is the best response by the nurse?

At the end of the shift, a nurse enters a crowded elevator and is standing near a client’s health care provider. Which response of the nurse is most appropriate when the health care provider asks, “How is my client in room 913 doing?”.

Which electrolyte imbalance should a nurse expect to assess in a client who reports diarrhea for the past three days?

Which nursing diagnosis is priority for a client who has had vomiting and diarrhea for the past three days?

A nurse is admitting a client with an exacerbation of chronic obstructive pulmonary disease.

What signs would the nurse expect to observe with this client? Select all that apply.