A nurse is providing care to a client who has COPD and is receiving supplemental oxygen. Which of the following findings should the nurse report to the RN immediately?

Speaks in short phrases

Increased sputum production

Use of accessory muscles to breathe

Pulse oximetry reading of 90%

Answer and Explanation

The Correct Answer is C

A.   Speaking in short phrases can indicate increased effort or difficulty in breathing. While it suggests respiratory compromise, it is not an immediate concern unless it worsens or is accompanied by other severe symptoms.
B.   Increased sputum production is common in clients with COPD and can indicate exacerbation or infection. It should be monitored closely but may not require immediate reporting unless it is severe or associated with other concerning symptoms.
C.   This finding indicates increased respiratory effort and potential respiratory distress, which requires prompt attention and intervention.
D.   A pulse oximetry reading of 90% indicates that the client's oxygen saturation is below the normal range but acceptable in client with COPD due to chronic hypoxemia.

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Correct Answer is ["25"]

Explanation

(Volume to be infused (mL) × Drop factor (gtt/mL)) / Time (min).

For the given scenario, the calculation would be: (100 mL × 15 gtt/mL) / 60 min, which equals 25 gtt/min.

Therefore, the nurse should set the manual IV infusion to deliver 25 drops per minute.

Correct Answer is ["2"]

Explanation

To administer a dose of 3 mg of dexamethasone when you have tablets of 1.5 mg, you would need to calculate the number of tablets that would equal the total required dose. In this case, since each tablet contains 1.5 mg, you would need two tablets to make up the 3 mg dose.

Therefore, the nurse should administer two tablets of dexamethasone

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A nurse is providing care to a client who has COPD and is receiving supplemental oxygen. Which of the following findings should the nurse report to the RN immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer dextrose 5% in water (DSW) 100 mL to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)

Correct Answer is ["25"]

Explanation

A nurse is preparing to administer dexamethasone 3 mg PO. Available is dexamethasone 5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

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