An 82-year-old client with COPD presents with restlessness, dyspnea, pursed lips, and tripod position complaining of "not being able to breathe". The nurse should question which of the following orders?

Rescue inhaler

Diazepam

Ipratropium

Hydromorphone

Oxygen via nasal cannula 2 L/min

Answer and Explanation

Correct Answer : B,D

A.   Rescue inhaler is appropriate for a COPD exacerbation as it helps to dilate the airways and improve breathing.
B.   Diazepam is a benzodiazepine, which is a sedative. Sedating a patient with severe respiratory distress is contraindicated as it can further depress respiratory drive.
C.   Ipratropium is a bronchodilator and is appropriate for COPD exacerbations.
D.   Hydromorphone is an opioid analgesic. Opioids can depress respiratory drive, which is especially dangerous for patients with respiratory compromise such as COPD.
E.   Oxygen is essential for patients with COPD exacerbations.

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Correct Answer is A

Explanation

A. Specific gravity measures the concentration of solutes in urine. In diabetes insipidus, the urine is very dilute, so the specific gravity will be low.
B. Insulin is related to diabetes mellitus, not diabetes insipidus. There would be no insulin in the urine in this case.
C. Glucose in the urine is typically associated with diabetes mellitus, not diabetes insipidus.

D. Presence of ketones: Ketones are typically found in the urine during uncontrolled diabetes mellitus or starvation. They would not be present in diabetes insipidus.

A. SBP > 200 B. SBP 140 C. SBP > 120 D. SBP >180

Correct Answer is D

Explanation

Hypertensive crisis is diagnosed when a patient's systolic blood pressure (SBP) is greater than 180 mmHg or their diastolic blood pressure (DBP) is greater than 120 mmHg. This is a serious condition that requires immediate medical attention.

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An 82-year-old client with COPD presents with restlessness, dyspnea, pursed lips, and tripod position complaining of "not being able to breathe". The nurse should question which of the following orders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has Diabetes Insipidus. Which of the following urinalysis laboratory findings should the nurse expect?

Correct Answer is A

Explanation

Hypertensive Crisis is diagnosed when a patient's SBP is:

Correct Answer is D

Explanation

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