Respiratory Therapy has an order to perform chest physiotherapy on your patient who has COPD. Your patient’s lung sounds are diminished, but free of secretions. What should the proper response be from the nurse to the respiratory therapist:
Hopefully this will help prevent her from getting pneumonia.
The technique could help loosen secretions I may not have heard with my stethoscope.
There is no need at this time to have chest physiotherapy at this time for this COPD patient.
You can perform the technique after and before she eats lunch.
The Correct Answer is B
Chest physiotherapy can help loosen secretions that may not be audible with a stethoscope. This can help improve the patient’s breathing and overall lung function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation

AB+ blood type is known as the universal recipient because individuals with this blood type have both A and B antigens on the surface of their red blood cells, as well as the Rh antigen. This means that they can receive blood from donors of any ABO blood type (A, B, AB, or O) and Rh factor (positive or negative) without experiencing a transfusion reaction.
Therefore, in the case of a patient who will be needing a blood transfusion, if the nurse knows that the patient's blood type is unknown, it is ideal to give them AB+ blood type as it is considered the safest option.
Correct Answer is D
Explanation
Explanation: In clients with COPD, the secretions tend to be thick and sticky, which makes it difficult to cough up and clear the airway. To promote respiratory hygiene in this situation, the nurse should recommend increasing fluid intake. Adequate hydration helps to thin the secretions, making them easier to expectorate. The client should aim to drink at least 8-10 glasses of water or other fluids per day unless there is a medical reason not to do so.
Decreasing fluid intake (option a) would make the secretions even thicker and more difficult to clear. Taking Tylenol for secretions (option b) is not a recommended intervention as Tylenol is not indicated for thinning of secretions. Range-of-motion exercises (option c) are important to prevent complications such as pneumonia, but they are not directly related to promoting respiratory hygiene in this situation.
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