The nurse is caring for the client diagnosed with chronic obstructive pulmonary disease (COPD). Which outcome requires a revision in the plan of care?
The client demonstrates intolerance to activity.
The client participates in establishing goals.
The client shows improvement in their respiratory pattern.
The client has no signs of respiratory distress.
The Correct Answer is A
A. This indicates that the client's condition is not improving or that the current interventions are ineffective in promoting activity tolerance. It is a negative outcome and requires a revision in the plan of care to address this issue.
B. This is a positive and desired outcome that shows the client is engaged in their care plan.
C. This indicates that the interventions are effective, and the client is responding positively.
D. This is a favorable outcome demonstrating effective management of the respiratory condition.Top of FormBottom of Form
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Tremors, nervousness, and insomnia may indicate your dose is too high." — These are signs of hyperthyroidism and may indicate overdosage of levothyroxine, which should be reported to the healthcare provider.
B. "The medication decreases the overproduction of the thyroid hormone thyroxine." — Levothyroxine is used to replace low levels of thyroid hormone in hypothyroidism, not to reduce overproduction.
C. "Take this medication until your symptoms are gone and then discontinue." — Levothyroxine is usually a lifelong therapy for primary hypothyroidism, not a short-term treatment.
D. "Symptoms improve immediately after starting the medication." — It may take several weeks (1–3 weeks) to see improvement in symptoms after starting levothyroxine.
Correct Answer is B
Explanation
A. Vegetarian diet — A vegetarian diet is not a known risk factor for pneumonia unless it results in nutritional deficiencies, which is not indicated here.
B. Advanced age — Older adults, especially those over 65, have decreased immune system function and pulmonary reserves, making them more susceptible to infections like pneumonia. This is the most significant risk factor in this scenario.
C. Osteoarthritis — While osteoarthritis affects mobility and comfort, it does not directly increase the risk of developing pneumonia.
D. Plays golf three times a week — Regular physical activity suggests good overall health and is not a risk factor for pneumonia.
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