The nurse is caring for a patient with a long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale. The nurse should monitor the patient for which expected finding if heart failure is present?
Tachypnea
Cyanosis
Peripheral edema
Hypertension
The Correct Answer is C
A. Tachypnea is a common finding in patients with COPD due to respiratory distress, but it is not specifically associated with cor pulmonale or heart failure.
B. Cyanosis, or a bluish tint to the skin, is a sign of hypoxemia and may occur in COPD, but it is not a hallmark sign of cor pulmonale.
C. Peripheral edema is a key sign of right-sided heart failure, which is common in cor pulmonale. This occurs due to the heart's inability to pump blood effectively, leading to fluid accumulation in the extremities.
D. Hypertension may be present in patients with COPD, but it is not the most specific finding related to cor pulmonale. Peripheral edema is more directly associated with the right-sided heart failure seen in cor pulmonale.
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Related Questions
Correct Answer is D
Explanation
A. Letting the client rest alone is not an appropriate intervention for an asthma attack. The client needs reassurance and support during an asthma exacerbation, and isolation can increase anxiety and worsen symptoms.
B. Reassuring the client that the doctor will arrive soon may provide some comfort, but it does not directly address the acute symptoms of dyspnea and anxiety. Immediate interventions to manage the asthma attack should be prioritized.
C. Placing the client on a cardiac monitor and observing from the nurse's station may be appropriate for monitoring heart rate and rhythm, but it does not address the primary concern of managing the asthma attack or anxiety. The nurse should be present to provide direct support and interventions.
D. Staying with the client and encouraging pursed-lip breathing is an effective intervention for managing anxiety and dyspnea during an asthma attack. Pursed-lip breathing helps the client slow their breathing, improve ventilation, and reduce anxiety, which can alleviate dyspnea.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D"}
Explanation
A. Diarrhea: Not relevant to the client's condition of impaired mobility and recent hip fracture.
B. Hypocalcemia: Not directly related to the client's current condition and symptoms.
C. Pulmonary embolism: The client is at risk due to limited mobility and signs of deep vein thrombosis.
D. Deep vein thrombosis: The client has symptoms such as a warm, reddened area on the calf, indicating a potential DVT.
E. Hypertension: The client's blood pressure is within normal limits, so this is not a primary concern.
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