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) Correct. A family history of COPD is a valid risk factor for the condition.

B) Correct. Smoking is indeed the leading cause of COPD.

C) Incorrect. Exposure to indoor pollutants like cooking fumes and indoor smoking can contribute to COPD.

D) Correct. Occupational exposure to dust and chemicals is a recognized risk factor for COPD.

A. "The hallmark symptom of COPD is a persistent cough with blood-tinged sputum." B. "It's characterized by severe chest pain, especially during deep breaths." C. "Shortness of breath, especially during physical activity, is the hallmark symptom of COPD." D. "The primary symptom is a high fever and chills."

Correct Answer is C

Explanation

A) Incorrect. While cough and sputum production are common in COPD, shortness of breath is the hallmark symptom.

B) Incorrect. Severe chest pain during deep breaths is not a hallmark symptom of COPD; it may suggest other conditions.

C) Correct. Shortness of breath, particularly during physical activity, is a characteristic symptom of COPD due to impaired lung function.

D) Incorrect. A high fever and chills are not typical symptoms of COPD but may be associated with other respiratory or infectious conditions.

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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 discussing risk factors for COPD with a group of clients. Which client statement indicates a misunderstanding of a risk factor?

Correct Answer is C

Explanation

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

Correct Answer is C

Explanation

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

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

A nurse is discussing common symptoms of COPD with a newly diagnosed client. Which symptom should the nurse emphasize as a characteristic of chronic bronchitis, a type of COPD?

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

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?

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 discussing the pathophysiology of COPD with a client who is a former smoker. Which statement by the client indicates an understanding of the role of smoking in COPD?