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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This is unrelated to acanthosis nigricans. Darkened urine might indicate liver issues or other conditions.
B. This is an increased heart rate, unrelated to skin conditions.
C. This refers to the colored part of the eye and is unrelated to acanthosis nigricans.
D. This is accurately describes the appearance of acanthosis nigricans. This is characterized by dark, thickened, velvety patches of skin in body folds and creases. These areas commonly include the armpits, groin, and neck.
Correct Answer is ["B","C","D","E"]
Explanation
A. While hormonal changes during pregnancy can affect blood sugar levels, it typically leads to insulin resistance rather than an acute rise.
B. Illness can cause stress, leading to the release of stress hormones like cortisol, which can elevate blood sugar levels.
C. A severe infection can trigger a stress response, leading to hyperglycemia.
D. The body undergoes significant stress during surgery, causing an increase in blood sugar levels.
E. Corticosteroids, often referred to as steroids, have a potent effect on raising blood sugar levels.
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