What is the purpose of a patient with COPD using an ipratropium inhaler?

To prevent bronchospasms and promote bronchodilation

To monitor blood pressure

To relieve nasal congestion

To reduce coughing

Answer and Explanation

The Correct Answer is A

A. Preventing bronchospasms and promoting bronchodilation is correct. Ipratropium is an anticholinergic bronchodilator that relaxes airway muscles, reducing airway resistance and improving airflow in COPD patients.
B. Monitoring blood pressure is unrelated to ipratropium use. It primarily acts on the respiratory system, not the cardiovascular system.
C. Relieving nasal congestion is incorrect in this context, though ipratropium nasal spray can be used for rhinorrhea.
D. Reducing coughing is not the primary purpose. While bronchodilation may indirectly reduce cough by improving airflow, it is not a cough suppressant.

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Correct Answer is A

Explanation

A. Orthopnea is correct. Left-sided heart failure causes pulmonary congestion, making it difficult for the client to breathe when lying flat. This results in orthopnea, where the client must sit up or use multiple pillows to breathe comfortably.
B. Bradycardia is incorrect. Heart failure typically leads to tachycardia due to the heart compensating for decreased cardiac output.
C. Diaphoresis is incorrect. While excessive sweating can occur in acute decompensated heart failure, it is not a hallmark symptom of left-sided heart failure.
D. Frequent coughing with yellow sputum is incorrect. A client with left-sided heart failure may have a dry or frothy, pink-tinged cough, but yellow sputum suggests infection rather than heart failure.

A. Have client lay in bed flat for 4 hours B. Monitor site for bleeding and hematoma formation C. Administer metformin D. Administer Aspirin

Correct Answer is C

Explanation

A. Having the client lay flat for 4 hours is appropriate. After coronary angiography, bed rest is required to prevent bleeding from the arterial puncture site, especially if a femoral approach was used.
B. Monitoring the site for bleeding and hematoma formation is correct. Bleeding is a potential complication, and frequent assessment of the catheter insertion site is necessary.
C. Administering metformin should be questioned. Metformin is contraindicated within 48 hours of receiving contrast dye because of the risk of lactic acidosis, especially in clients with impaired renal function.
D. Administering aspirin is appropriate. Aspirin is commonly prescribed to prevent clot formation after a coronary procedure.

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What is the purpose of a patient with COPD using an ipratropium inhaler?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client with the diagnosis of left-sided heart failure. Which clinical finding should the nurse expect the client to experience?

Correct Answer is A

Explanation

The nurse is caring for a diabetic client who had a Coronary Angiography two hours ago. Which of the following orders should the nurse question?

Correct Answer is C

Explanation

The nurse identifies which of the following as the most common cause of a myocardial infarction?

The nurse is caring for a client status/post a Myocardial Infarction who is questioning procedures utilized for treatment. Which of the following statements correctly explains a Coronary Artery Bypass Grafting (CABG)?

The client is being discharged with a prescription of prednisone. Which of the following is not a common side effect for this corticosteroid?

The nurse is providing care for a client admitted to rule out a myocardial infarction who is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?

A nurse is caring for a client with a diagnosis of left-sided heart failure. The nurse expects what assessment findings associated with left-sided heart failure? (Select All that Apply.)

A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?

A nurse is assessing a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?

The nurse is assessing the client diagnosed with COPD. Which of the following would require immediate attention by the nurse?