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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Stridor indicates upper airway obstruction, not a pneumothorax.
B. Wheezing suggests narrowed airways, commonly seen in asthma or COPD, not pneumothorax.
C. Absent breath sounds on one side are a hallmark finding of pneumothorax because air in the pleural space prevents lung expansion and sound transmission.
D. Crackles are associated with fluid in the alveoli, such as in pneumonia or heart failure, not pneumothorax.
Correct Answer is C
Explanation
Rationale:
A. Improvement with antihistamines is characteristic of allergic asthma, not nonallergic asthma.
B. Symptoms triggered by pollen exposure indicate allergic asthma.
C. Wheezing and shortness of breath during exercise is a hallmark of nonallergic (exercise-induced) asthma, which is triggered by physical activity rather than allergens.
D. Symptoms occurring only during spring and fall are linked to seasonal allergic asthma, not nonallergic asthma.
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