A nurse is assisting with the care of a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGs), which of the following conditions should the nurse anticipate the client to be experiencing?

Respiratory acidosis

Respiratory alkalosis

Metabolic acidosis

Metabolic alkalosis

Answer and Explanation

The Correct Answer is A

A. Respiratory acidosis: COPD often results in impaired gas exchange and decreased removal of carbon dioxide, leading to its accumulation in the blood. This results in respiratory acidosis, characterized by elevated PaCO2 and a decreased pH.

B. Respiratory alkalosis: This condition is generally associated with hyperventilation, where excessive loss of carbon dioxide leads to a higher blood pH. It is less common in COPD, where hypoventilation is more typical.

C. Metabolic acidosis: While COPD can sometimes lead to metabolic acidosis, it is not the primary condition associated with the disease. Metabolic acidosis usually results from conditions affecting the kidneys or metabolic processes.

D. Metabolic alkalosis: This is characterized by an increased blood pH due to a loss of acid or an excess of bicarbonate. It is not typically associated with COPD.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Diffusion is the movement of molecules from an area of higher concentration to an area of lower concentration.": This statement accurately describes diffusion. Molecules move down their concentration gradient from areas of higher concentration to areas of lower concentration until equilibrium is reached.

B. "Diffusion is the movement of particles between areas of equal concentrations.": Diffusion does not occur between areas of equal concentration as there is no concentration gradient to drive the movement.

C. "Diffusion is the movement of water from an area of higher concentration of water to an area of lower concentration of water.": This describes osmosis, not diffusion. Osmosis specifically refers to the movement of water across a semipermeable membrane.

D. "Diffusion is the movement of particles from an area of lower concentration of particles to an area of higher concentration of particles.": This is incorrect as diffusion occurs from higher to lower concentration, not the reverse.

A. Dyspnea B. Chronic cough C. Wheezing D. Sputum production E. Chest tightness

Correct Answer is ["A","B","C","D"]

Explanation

A. Dyspnea: Shortness of breath or difficulty breathing is a hallmark symptom of COPD, commonly reported by patients.

B. Chronic cough: A persistent cough, often productive, is a common manifestation of COPD, reflecting the chronic inflammation and irritation of the airways.

C. Wheezing: Wheezing, a high-pitched whistling sound during breathing, is often present in COPD due to airway narrowing and obstruction.

D. Sputum production: Increased production of sputum (mucus) is typical in COPD, as the chronic inflammation leads to mucus hypersecretion.

E. Chest tightness: While chest tightness can occur in COPD, it is less common compared to the more prominent symptoms of dyspnea, chronic cough, wheezing, and sputum production.

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 assisting with the care of a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGs), which of the following conditions should the nurse anticipate the client to be experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is reinforcing teaching to a group of nurses about diffusion. Which of the following statements should the charge nurse include in their teaching about diffusion?

Correct Answer is A

Explanation

Which of the following are the most common manifestations of COPD? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is assisting with weaning a client from the ventilator. Which of the following parts of the ABCDEF assessment tool does the weaning process represent?

A nurse at a long-term care facility is reinforcing teaching with a newly hired nurse about the care of clients who are receiving mechanical ventilation. Which of the following information should the nurse include?

A nurse is collecting data from a client who has a respiratory disorder and displays manifestations of hypoxia. Which of the following findings should the nurse expect?

A nurse is collecting data for a client who has acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse expect?

Which of the following is the most common risk factor for emphysema?

A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?

A nurse is collecting data for a client who has tension pneumothorax. Which of the following findings should the nurse expect following tracheal deviation?

Which of the following are the most common manifestations of COPD? (Select all that apply.)