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

Explanation

A. Insomnia is not a serious adverse effect of ethinyl estradiol and drospirenone (Yasmin). Common side effects may include nausea or headaches, but insomnia is not a red flag.
B. This could indicate deep vein thrombosis (DVT), a serious complication associated with hormonal contraceptives like Yasmin. The nurse should educate the patient to report these symptoms immediately.
C. Sedation is not a common or serious adverse effect of Yasmin. Side effects are more commonly related to gastrointestinal or cardiovascular systems.
D. Indigestion is not typically associated with a serious complication of Yasmin. Some mild gastrointestinal discomfort may occur, but it is not a major concern unless it is severe.

A. Pinpoint pupils, coma, and respiratory depression. B. Sedation, fixed pupils, and nausea, C. Fever, hypertension, vomiting, anxiety, and abdominal cramping D. Hyperventilation, depression, and constipation.

Correct Answer is C

Explanation

A. Pinpoint pupils, coma, and respiratory depression: These are signs of opioid overdose, not abstinence syndrome.
B. Sedation, fixed pupils, and nausea: This may be associated with opioid overdose, not withdrawal.
C. Fever, hypertension, vomiting, anxiety, and abdominal cramping: These are classic symptoms of abstinence syndrome (withdrawal symptoms) after naloxone administration.
D. Hyperventilation, depression, and constipation: These are not typical signs of abstinence syndrome.

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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 client is prescribed ethinyl estradiol and drospirenone (Yasmin) for to treat postmenopausal vasomotor symptoms. The nurse instructs the client to monitor for which of the following that may indicate a serious adverse complication?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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