What is the underlying rationale for why a nurse assesses a client with emphysema for clinical indicators of hypoxia?

Increased mucus production blocks the alveoli

Infections decrease ventilation

Lack of adequate surface area for aeration

Inflammation of the bronchioles decreases breathing capacity

Answer and Explanation

The Correct Answer is C

A. Increased mucus production blocking the alveoli is incorrect. While mucus production can be an issue in COPD, it is more characteristic of chronic bronchitis rather than emphysema.
B. Infections decreasing ventilation is incorrect. Although infections can worsen emphysema symptoms, they are not the primary cause of chronic hypoxia in these clients.
C. Lack of adequate surface area for aeration is correct. Emphysema leads to alveolar destruction and loss of elasticity, reducing the surface area available for gas exchange, which causes chronic hypoxia.
D. Inflammation of the bronchioles decreasing breathing capacity is incorrect. While airway inflammation is seen in conditions like asthma and chronic bronchitis, emphysema is primarily characterized by alveolar damage rather than airway inflammation.

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Correct Answer is D

Explanation

A. A balloon inflation within the artery describes percutaneous coronary intervention (PCI) or angioplasty, not CABG.
B. A medication to dissolve a blood clot refers to thrombolytic therapy, which is not part of a CABG procedure.
C. Injecting dye to outline heart vessels describes a coronary angiogram, which is a diagnostic procedure but not a treatment.
D. CABG involves using a healthy artery or vein to bypass the blocked portion of a coronary artery, restoring proper blood flow to the heart muscle.

A. Weight loss B. Dry mouth C. Hyperglycemia D. Decreased wound healing

Correct Answer is A

Explanation

A. Weight loss is not a common side effect of prednisone. Instead, weight gain due to fluid retention and increased appetite is a frequent side effect.
B. Dry mouth can occur with prednisone use, though it is not the most common side effect.
C. Hyperglycemia is a well-known side effect because corticosteroids increase glucose production and reduce insulin sensitivity.
D. Decreased wound healing is a common effect due to prednisone's immunosuppressive and anti-inflammatory properties, which impair tissue repair.

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What is the underlying rationale for why a nurse assesses a client with emphysema for clinical indicators of hypoxia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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)?

Correct Answer is D

Explanation

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

Correct Answer is A

Explanation

The nurse and unlicensed assistive personnel (UAP) are caring for an elderly client diagnosed with emphysema. Which nursing tasks could be delegated to the UAP to improve gas exchange? (Select All that Apply)

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 caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?

A nurse is teaching a client who has emphysema about self-management strategies. Which of the following statements by the client indicates an understanding of the teaching?

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?

The nurse is providing education to a client on ways to prevent the development of a pulmonary embolism. Which of the following statements would require further teaching?

A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition?

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