A nurse is assessing a client with COPD. Which clinical manifestation is most indicative of exacerbation or worsening of the condition?

Mild wheezing on auscultation

Increased energy levels and activity tolerance

Decreased shortness of breath during exertion

Cyanosis of the lips and fingertips

Answer and Explanation

The Correct Answer is D

A) Incorrect. Mild wheezing can occur in stable COPD and may not necessarily indicate exacerbation.

B) Incorrect. Increased energy levels and activity tolerance would be positive signs but are not indicative of exacerbation.

C) Incorrect. Decreased shortness of breath during exertion would be a positive change, suggesting improved control of COPD.

D) Correct. Cyanosis (bluish discoloration) of the lips and fingertips is a sign of hypoxia and indicates exacerbation or worsening of COPD.

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Correct Answer is D

Explanation

A) Incorrect. Taking short, shallow breaths can lead to inadequate oxygenation and increased fatigue. Deep and controlled breaths are preferred.

B) Incorrect. Performing all activities at once can lead to excessive fatigue. Energy conservation involves pacing activities and taking rest breaks.

C) Incorrect. While assistive devices can be helpful, relying solely on them without considering energy conservation principles may not be effective.

D) Correct. Prioritizing activities and taking rest breaks as needed are key components of energy conservation for individuals with COPD.

A. "This test evaluates lung function and airflow in your lungs." B. "It measures the oxygen and carbon dioxide levels in your blood." C. "An ABG test assesses for the presence of respiratory infections." D. "It identifies specific bacteria causing your respiratory symptoms."

Correct Answer is B

Explanation

A) Incorrect. While ABG tests provide information about blood gases, they do not directly evaluate lung function and airflow.

B) Correct. Arterial blood gas (ABG) tests measure the levels of oxygen and carbon dioxide in the blood, which can help assess respiratory function and acid-base balance.

C) Incorrect. ABG tests do not directly assess for the presence of respiratory infections; they focus on blood gas parameters.

D) Incorrect. Identifying specific bacteria causing respiratory symptoms is typically done through sputum cultures and sensitivity tests, not ABG tests.

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A nurse is assessing a client with COPD. Which clinical manifestation is most indicative of exacerbation or worsening of the condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client with COPD about energy conservation techniques. Which action by the client demonstrates an understanding of these techniques?

Correct Answer is D

Explanation

A client with COPD asks the nurse about the purpose of an arterial blood gas (ABG) test. What should the nurse explain?

Correct Answer is B

Explanation

A client asks the nurse why they develop a chronic cough with COPD. How should the nurse respond?

A client with COPD asks the nurse about the hallmark symptom of this condition. What should the nurse explain?

A nurse is teaching a client about the risk factors for COPD. Which statement by the client demonstrates an accurate understanding of the role of genetics?

A nurse is educating a client about the risk factors for developing COPD. Which statement by the client indicates a correct understanding of these risk factors?

A nurse is providing education to a client newly diagnosed with COPD. Which statement by the client indicates an understanding of the importance of smoking cessation?

A nurse is assessing a client with COPD. Which clinical manifestation should the nurse expect to find related to the increased work of breathing?

A client asks a nurse why COPD is considered a progressive condition. How should the nurse explain this concept?

A nurse is discussing respiratory medications with a client with COPD. The client asks about the purpose of bronchodilators. What should the nurse explain?