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 C

Explanation

A) Incorrect. Pursed-lip breathing is beneficial in various situations, not just during exercise.

B) Incorrect. While pursed-lip breathing can help with oxygenation, its primary purpose is to optimize breathing patterns.

C) Correct. Pursed-lip breathing is a technique that promotes more efficient breathing by slowing down the breath rate and enhancing oxygen exchange.

D) Incorrect. While it can have a calming effect, the primary purpose of pursed-lip breathing is to aid in respiratory function.

A. Chest X-ray B. Complete blood count (CBC) C. Pulmonary function tests (PFTs) D. Electrocardiogram (ECG)

Correct Answer is C

Explanation

A) Incorrect. Chest X-rays can provide information about the lungs but are not the primary diagnostic tool for assessing lung function in COPD.

B) Incorrect. A complete blood count (CBC) may reveal signs of infection or anemia but does not assess lung function.

C) Correct. Pulmonary function tests (PFTs), such as spirometry, are the primary diagnostic tool for assessing lung function in COPD. They measure parameters like forced expiratory volume in one second (FEV1) and forced vital capacity (FVC).

D) Incorrect. An electrocardiogram (ECG) is used to assess the electrical activity of the heart and is not a primary tool for diagnosing COPD.

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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 client with COPD asks a nurse about pursed-lip breathing. What is the nurse's best response regarding the purpose of this breathing technique?

Correct Answer is C

Explanation

A nurse is explaining the diagnostic evaluation for COPD to a client. Which test does the nurse emphasize as the primary diagnostic tool for assessing lung function in COPD?

Correct Answer is C

Explanation

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

A client with COPD asks a nurse about pursed-lip breathing. What is the nurse's best response regarding the purpose of this breathing technique?

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

A nurse is discussing COPD with a client and mentions that smoking is a significant risk factor. The client asks if there are other risk factors. What should the nurse include in the response?

A nurse is explaining to a client why COPD is often referred to as "obstructive." How should the nurse describe this aspect of the condition?

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

A client with COPD is prescribed oxygen therapy. The client asks the nurse about the potential risks of oxygen use. What should the nurse include in the response?