A nurse is reviewing the medical record of a client who has COPD. The nurse should notify the provider about which of the following findings? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)
Temperature
Respiratory rate
SpO2
pH
The Correct Answer is C
A. Temperature: 37.2°C (99.0°F) is within the normal range.
B. Respiratory rate: 28/min is elevated but expected in COPD.
C. An SpO₂ of 88% indicates significant hypoxemia in a client with COPD, which requires immediate intervention. Oxygen therapy may be needed to maintain a target saturation of 88–92%.
D. pH: 7.22 indicates respiratory acidosis but is consistent with COPD and requires monitoring rather than immediate notification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administer the medication subcutaneously – Diazepam should be given orally or intravenously in severe cases, not subcutaneously.
B. Initiate seizure precautions – This is the correct answer. Alcohol withdrawal can lead to seizures due to central nervous system hyperactivity. Diazepam, a benzodiazepine, is used to prevent seizures and manage withdrawal symptoms.
C. Administer the medication with an antacid – There is no need to administer diazepam with an antacid; doing so can interfere with absorption.
D. Initiate contact precautions – Alcohol withdrawal is not an infectious condition, so contact precautions are unnecessary.
Correct Answer is B
Explanation
A. "I can expect my eyelids to be bruised after this procedure." – Bruising of the eyelids is not a typical postoperative effect of cataract surgery. The procedure is minimally invasive and does not cause significant trauma to surrounding tissues.
B. "I know the provider will replace the lens in my eyes during this procedure." – This is the correct statement. Cataract surgery involves removing the cloudy lens and replacing it with an artificial intraocular lens (IOL) to restore vision.
C. "I will see dark spots in my vision after this procedure." – Visual disturbances such as dark spots or floaters are not expected. Some clients may experience mild blurriness, but this should improve as the eye heals.
D. "I will receive general anesthesia for this procedure." – Cataract surgery is typically performed under local anesthesia with sedation, not general anesthesia. The client remains awake but does not feel pain.
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