A nurse is performing a focused assessment on a client who has a history of COPD and is experiencing dyspnea. Which of the following findings should the nurse expect?

Pulse oximetry reading of 95%

Decreased depth of respirations

Flaring of the nostrils

Respiratory rate of 16/min

Answer and Explanation

The Correct Answer is C

A. Pulse oximetry reading of 95%. COPD clients often have lower baseline oxygen levels (88-92%), making this reading unexpectedly high.

B. Decreased depth of respirations. COPD typically causes shallow and rapid breathing due to air trapping.

C. Flaring of the nostrils: Nostril flaring is a sign of increased respiratory effort, which is common in COPD exacerbations.

D. Respiratory rate of 16/min. → Normal range (12-20/min), not an expected finding during dyspnea.

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Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E"}

Explanation

The nurse is planning care for the client. The nurse should place the client in a High Fowler's or Semi Fowler's position.

High Fowler's Position: Elevating the head of the bed to a high Fowler's position (60-90 degrees) can help improve breathing and oxygenation by allowing the lungs to expand more easily.
Semi Fowler's Position: A semi Fowler's position (30-45 degrees) is also beneficial for respiratory distress, providing some elevation to aid in breathing while being more comfortable than lying flat.

A. “The body produces antibodies in response to an antigen with active immunity." B. "There is lifelong immunity with passive immunity." C. "The body is able to recognize previous exposure to antigens with passive immunity." D. "There is a short duration of immunity with active immunity."

Correct Answer is A

Explanation

A. "The body produces antibodies in response to an antigen with active immunity." Active immunity develops after exposure to an antigen, leading to antibody production.

B. "There is lifelong immunity with passive immunity." Passive immunity is temporary (e.g., maternal antibodies).

C. "The body is able to recognize previous exposure to antigens with passive immunity." Passive immunity does not create immune memory.

D. "There is a short duration of immunity with active immunity." Active immunity is long-lasting and sometimes lifelong.

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A nurse is performing a focused assessment on a client who has a history of COPD and is experiencing dyspnea. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client on a medical-surgical unit. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The nurse is planning care for the client. The nurse should place the client in a dropdown or dropdown.

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E"}

Explanation

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Correct Answer is A

Explanation

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