Order: Prednisone 7.5 mg PO QID Available: Prednisone 2.5 mg tabs How much will you administer?

A. This option is not a reliable indicator of cyanosis. While the ears can change color in response to temperature or blood flow, they are not typically used as a primary site for assessing cyanosis. The ears can also be affected by peripheral circulation changes, making them less reliable.
B. The oral mucosa, including the tongue and gums, is a good area to assess for central cyanosis. Cyanosis in this area indicates systemic hypoxia and is more indicative of oxygenation status than peripheral cyanosis.
C. This option is not a reliable indicator of cyanosis. Similar to the ear lobes, the tip of the nose can be affected by environmental factors and peripheral circulation. While it may show color changes, it is not as indicative of systemic hypoxia.
D. This option is not the most reliable indicator of cyanosis. While the eyelids can show some degree of color change, they are not as consistently used as indicators for cyanosis. Other areas of the body, such as the oral mucosa, provide clearer evidence of oxygenation issues.

A. While providing information about nutrition is helpful, it is not the most effective intervention to enhance the nutritional status of a patient with COPD. Patients with COPD may experience dyspnea (shortness of breath) while eating, which can make it difficult to consume adequate amounts of food.
B. Consuming excess fluids with meals can lead to bloating and discomfort, which can make it difficult for patients with COPD to eat. It is important to encourage adequate hydration throughout the day, but fluids should be consumed separately from meals.
C. Exercising before meals can increase the risk of nausea and vomiting, which can make it difficult for patients with COPD to eat. It is best to avoid strenuous activity within 1-2 hours of eating.
D. This is the most effective intervention to enhance the nutritional status of a patient with COPD. Eating small, frequent meals throughout the day can help to avoid feeling overly full and can make it easier to consume adequate amounts of food.