A nurse is assessing a client who has a history of chronic obstructive pulmonary disease (COPD).

Which finding should the nurse report to the provider immediately?

Barrel-shaped chest

Clubbing of the fingers

Cyanosis of the lips and nail beds

Wheezes on auscultation

Answer and Explanation

The Correct Answer is C

Cyanosis of the lips and nail beds

Rationale: Cyanosis of the lips and nail beds indicates severe hypoxia and requires immediate intervention. The nurse should report this finding to the provider and administer oxygen as prescribed.

Incorrect options:

A) Barrel-shaped chest - This is a common finding in clients with COPD, due to the increased anteroposterior diameter of the chest caused by air trapping and hyperinflation of the lungs. It does not require immediate intervention.

B) Clubbing of the fingers - This is a sign of chronic hypoxia and is often seen in clients with COPD. It results from the proliferation of connective tissue at the base of the nails due to chronic low oxygen levels. It does not require immediate intervention.

D) Wheezes on auscultation - This is an expected finding in clients with COPD, due to the narrowing of the airways caused by inflammation, mucus production, and bronchospasm. It does not require immediate intervention.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

"I will avoid foods that are high in calcium."

Rationale: Hydrochlorothiazide is a thiazide diuretic that lowers blood pressure by increasing urine output and reducing fluid volume. However, it also causes increased excretion of potassium and magnesium, and decreased excretion of calcium and uric acid. Therefore, clients taking hydrochlorothiazide should eat more foods that are rich in potassium and magnesium, such as bananas, oranges, potatoes, spinach, nuts, and seeds; limit their intake of sodium and fluids to prevent fluid retention and edema; avoid foods that are high in uric acid, such as organ meats, shellfish, and alcohol; and monitor their serum calcium levels regularly. There is no need to avoid foods that are high in calcium, as hydrochlorothiazide does not increase calcium excretion.

Incorrect options:

A) "I will eat more foods that are rich in potassium." - This is a correct statement, as hydrochlorothiazide causes increased potassium excretion and can lead to hypokalemia if not supplemented.

B) "I will limit my intake of sodium and fluids." - This is a correct statement, as sodium and fluids can cause fluid retention and edema, which can increase blood pressure and counteract the effects of hydrochlorothiazide.

D) "I will drink alcohol in moderation." - This is a correct statement, as alcohol can increase uric acid levels and cause gout attacks in clients taking hydrochlorothiazide. Alcohol can also lower blood pressure and increase the risk of orthostatic hypotension.

A. The type and amount of dressing used B. The location and size of the wound C. The appearance and odor of the wound D. All of the above

Correct Answer is D

Explanation

All of the above

Rationale: The nurse should document all aspects of wound care, including the type and amount of dressing used, the location and size of the wound, and the appearance and odor of the wound. This information helps to monitor the healing process, evaluate the effectiveness of interventions, and identify any signs of infection or complications.

Incorrect options:

A) The type and amount of dressing used - This is an important information to document, but not the only one.

B) The location and size of the wound - This is an important information to document, but not the only one.

C) The appearance and odor of the wound - This is an important information to document, but not the only one.

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 assessing a client who has a history of chronic obstructive pulmonary disease (COPD). Which finding should the nurse report to the provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has hypertension is prescribed hydrochlorothiazide, a thiazide diuretic. The nurse teaches the client about dietary modifications while taking this medication. Which statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is documenting the wound care provided to a client who has a pressure ulcer on the sacrum. Which information should the nurse include in the documentation?

Correct Answer is D

Explanation

A client who had a stroke is being transferred from the intensive care unit (ICU) to a rehabilitation unit. The ICU nurse is giving a handoff report to the rehabilitation nurse. Which information should be included in the report?

A nurse is assessing a client who has a chest tube connected to a water seal drainage system. The nurse observes continuous bubbling in the water seal chamber. What does this finding indicate?

A client who has diabetes mellitus is scheduled for a colonoscopy. The nurse instructs the client to stop taking metformin 48 hours before and after the procedure. What is the rationale for this instruction?

A client is admitted to the hospital with suspected meningitis. Which assessment finding should alert the nurse to perform a Kernig's sign test?

A nurse is preparing to report a medication error to the nurse manager. What is the most appropriate action for the nurse to take?

A nurse is assessing a client who has a history of chronic obstructive pulmonary disease (COPD). Which finding should the nurse report to the provider immediately?

A nurse is receiving a telephone order from a physician for a new medication for a client. Which action should the nurse take to ensure accuracy and safety?

A nurse is assessing a client who has a history of chronic obstructive pulmonary disease (COPD).

Which finding should the nurse report to the provider immediately?