The nurse teaches a patient with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing (PLB). Which action by the patient would indicate to the nurse that no further teaching is needed?

The patient inhales and exhales quickly through pursed lips.

The patient inhales deeply through the nose and exhales quickly through pursed lips.

The patient inhales deeply through the nose and exhales slowly through pursed lips.

The patient inhales deeply through pursed lips and exhales quickly through the nose.

Answer and Explanation

The Correct Answer is C

A. Inhaling and exhaling quickly through pursed lips does not achieve the intended purpose of pursed-lip breathing. This technique is designed to promote slower, controlled breathing to prevent airway collapse and improve oxygen exchange.

B. Exhaling quickly through pursed lips negates the benefits of pursed-lip breathing. The purpose of this technique is to prolong exhalation, reducing air trapping and improving ventilation.

C. Inhaling deeply through the nose and exhaling slowly through pursed lips is the correct technique for pursed-lip breathing. This method helps maintain open airways, reduces dyspnea, and promotes relaxation.

D. Inhaling deeply through pursed lips and exhaling quickly through the nose is not consistent with proper pursed-lip breathing. The inhalation should be through the nose, and exhalation should be slow and controlled through pursed lips.

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Correct Answer is ["B","C","D"]

Explanation

A. Priapism is a rare side effect that can occur with certain medications, but it is not commonly associated with cimetidine.
B. Cimetidine, a H2 blocker used for stomach acid reduction, can cause decreased libido as a side effect, especially in long-term use, due to its antiandrogenic properties.
C. Sedation is a potential side effect of cimetidine, as it can cross the blood-brain barrier and cause central nervous system effects such as drowsiness.
D. Impotence is another side effect of cimetidine, due to its antiandrogenic effects.

A. Expect increased swelling of the ankles. B. Fluid intake should be limited C. Take this medication at bedtime. D. Take this medication with food.

Correct Answer is D

Explanation

A. Hydrochlorothiazide does not typically cause increased swelling of the ankles. It is a diuretic and helps reduce fluid retention.
B. Fluid intake should not be restricted unless specifically indicated. Diuretics like hydrochlorothiazide increase urine output, and adequate fluid intake is generally encouraged to prevent dehydration.
C. Taking hydrochlorothiazide at bedtime is not recommended due to the increased urination, which may disrupt sleep.
D. Taking this medication with food can help prevent gastrointestinal upset, which is a common side effect of hydrochlorothiazide.

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The nurse teaches a patient with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing (PLB). Which action by the patient would indicate to the nurse that no further teaching is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is prescribed with cimetidine (Tagamet HB). The nurse understands that complications of cimetidine (Tagamel HB) include: (Select All That Apply.).

Correct Answer is ["B","C","D"]

Explanation

A nurse is providing information to a client who has a new prescription for hydrochlorothiazide (Hydro Diuril). Which of the following information should the nurse include?

Correct Answer is D

Explanation

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Which of the following routes is affected by the first-pass effect?

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