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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. Bronchodilators are not primarily focused on reducing inflammation, although some may have anti-inflammatory properties.
B) Incorrect. Thinning mucus is typically achieved with mucolytic medications, not bronchodilators.
C) Correct. Bronchodilators are medications that relax and widen the airways, making it easier to breathe for individuals with COPD.
D) Incorrect. Bronchodilators do not prevent respiratory infections; they primarily address airway constriction and bronchoconstriction.
Correct Answer is C
Explanation
A) Incorrect. A sputum culture and sensitivity test is not primarily used to diagnose lung cancer.
B) Incorrect. While the effectiveness of COPD medications may be assessed through other means, this test focuses on identifying bacteria or pathogens.
C) Correct. A sputum culture and sensitivity test helps identify specific bacteria or pathogens present in the sputum, which can guide antibiotic therapy if needed.
D) Incorrect. The test for measuring oxygen and carbon dioxide levels in the blood is typically done through arterial blood gases (ABG) rather than a sputum culture.
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