Which of the following is the most effective indicator of improved ventilation in a patient with COPD after a nursing intervention?

increased respiratory rate

Decreased use of accessory muscles during breathing

Cyanosis of the lips and fingertips

Increased use of bronchodilator medications

Answer and Explanation

The Correct Answer is B

Rationale:
A. An increased respiratory rate may indicate worsening distress, not improved ventilation.
B. Decreased use of accessory muscles shows that the patient is breathing more effectively and with less effort, indicating improved ventilation.
C. Cyanosis is a sign of hypoxemia, not improvement.
D. An increased use of bronchodilators suggests poor symptom control rather than improvement.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

Rationale:
A. Deep breathing exercises would help correct respiratory acidosis by eliminating CO₂, but this client has metabolic acidosis.
B. The ABG shows metabolic acidosis (low pH 7.32, low HCO₃⁻ 16, low PaCO₂ as partial compensation). The priority treatment may include IV sodium bicarbonate in severe cases to buffer excess acid.
C. Mechanical ventilation is indicated for respiratory failure, not metabolic acidosis.
D. Oxygen therapy is unnecessary since the PaO₂ is normal (85 mm Hg).

A. Administer oxygen via face mask B. Prepare for mechanical ventilation C. Prepare to administer a sedative D. Assess for indications of pulmonary embolism

Correct Answer is A

Explanation

Rationale:
A. The ABGs show respiratory alkalosis (pH 7.50, PaCO₂ 29) with hypoxemia (PaO₂ 60, SaO₂ 86%). The priority is to administer oxygen via face mask to correct hypoxemia.
B. Mechanical ventilation may be needed if oxygen therapy is ineffective, but it is not the first action.
C. A sedative is not appropriate because the hyperventilation is compensatory for impaired oxygenation.
D. Assessing for pulmonary embolism is important (risk factors: oral contraceptives, smoking, sudden dyspnea), but ensuring oxygenation takes priority in the immediate situation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which of the following is the most effective indicator of improved ventilation in a patient with COPD after a nursing intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assesses a client who is admitted with an acid-base imbalance. The client's arterial blood gas values are pH 7.32. PaO2 85 mm Hg, PaCO2 34 mm Hg. and HCO3⁻16 mEq/L. What action should the nurse take next?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

A nurse in the emergency department is assessing an older adult client who has community-acquired pneumonia. Which of the following findings should the nurse expect?

A nurse is collaborating on care for a client who has COPD. Which of the following tasks should the nurse recommend be referred to an occupational therapist for assistance?

A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 5 L/min via nasal cannula. Which of the following actions should the nurse take?

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGS), which of the following conditions should the nurse anticipate the client to be experiencing?

A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious breath sounds?

A nurse is providing discharge teaching to a client who has asthma and new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?

A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following manifestations should the nurse expect?