A patient with COPD is receiving oxygen therapy. Which considerations are important to ensure safe and effective oxygen administration for this patient?
(Select All that Apply.)

Increase oxygen flow rate if the patient appears anxious.

Administer high-flow oxygen to quickly relieve hypoxemia.

Monitor the patient's respiratory rate and effort frequently.

Adjust oxygen flow rate to maintain a saturation level of 88-92%.

Use a non-rebreather mask to maximize oxygen delivery.

Encourage the patient to take deep breaths frequently.

Answer and Explanation

Correct Answer : C,D

A.   Increasing the oxygen flow rate due to anxiety can worsen carbon dioxide retention, which is dangerous in COPD patients.
B.   High-flow oxygen is typically not recommended for COPD patients because it can suppress respiratory drive.
C.   Monitoring the respiratory rate and effort is crucial to ensure the patient is not retaining carbon dioxide or experiencing further respiratory distress.
D.   Adjusting the oxygen flow rate to maintain a saturation level of 88-92% is recommended for COPD patients to prevent hypercapnia.
E.   A non-rebreather mask is generally not used for COPD patients, as it can deliver too much oxygen, leading to carbon dioxide retention.
F.   Encouraging deep breathing can help, but it is more important to focus on maintaining the proper oxygen saturation.

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Correct Answer is ["E","F"]

Explanation

A. Frequent headaches can be a symptom of hypertension but are not specific to poorly managed hypertension.
B. Blood pressure consistently at goal indicates good management of hypertension.
C. Normal renal function tests suggest that there has been no damage to the kidneys, a common consequence of poorly controlled hypertension.
D. Steady weight with no recent gain suggests good management of overall health, which can contribute to better blood pressure control.
E. Proteinuria indicates kidney damage, often a result of uncontrolled hypertension.
F. Left ventricular hypertrophy (LVH) is a sign of chronic hypertension and indicates poor management, as it results from the heart working harder to pump blood against increased pressure.
G. Absence of retinal changes on fundoscopic exam indicates that there is no evidence of hypertensive retinopathy, suggesting good hypertension management.

A. Elevated ketones in the urine B. Presence of nitrites in the urine C. Low specific gravity D. Presence of glucose in the urine

Correct Answer is B

Explanation

A. Elevated ketones in the urine can indicate diabetic ketoacidosis or starvation but is not specific to a UTI.
B. Nitrites are commonly found in the urine of patients with UTIs due to bacterial conversion of urinary nitrates to nitrites. This is a hallmark finding of a UTI.
C. Low specific gravity indicates diluted urine, which is not a direct indicator of a UTI.
D. Glucose in the urine could indicate diabetes but is not a typical finding for a UTI.

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A patient with COPD is receiving oxygen therapy. Which considerations are important to ensure safe and effective oxygen administration for this patient? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 60-year-old patient with a history of hypertension presents to the clinic for a routine check-up. Which of the following findings would indicate poor management of hypertension? (Select All that Apply.)

Correct Answer is ["E","F"]

Explanation

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Correct Answer is B

Explanation

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A patient with COPD is receiving oxygen therapy. Which considerations are important to ensure safe and effective oxygen administration for this patient?
(Select All that Apply.)