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Which outcome is appropriate for the client problem of "ineffective gas exchange" for the client diagnosed with chronic obstructive pulmonary disease (COPD)?

Reduced bronchospasm.

Decreased breathlessness.

Increased carbon dioxide retention.

Improved oxygen saturation levels.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Reduced bronchospasm is a beneficial outcome for COPD, but it is not the primary outcome related to gas exchange.

Choice B rationale

Decreased breathlessness is a positive outcome for COPD, but it is not directly related to gas exchange.

Choice C rationale

Increased carbon dioxide retention is a negative outcome and indicates worsening of gas exchange.

Choice D rationale

Improved oxygen saturation levels are a direct and measurable outcome of effective gas exchange and indicate better oxygenation in COPD patients.

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Correct Answer is B

Explanation

Choice A rationale

A complete blood count (CBC) can provide information about the client's overall health and presence of infection, but it does not specifically address the potential underlying cause related to the urinary system.

Choice B rationale

Urinalysis with culture is the most relevant diagnostic test for evaluating the underlying cause of fever, chills, and severe left costovertebral pain. These symptoms suggest a possible urinary tract infection or pyelonephritis, which can be confirmed with urinalysis and culture.

Choice C rationale

A chest X-ray would not be the priority in this scenario as the symptoms suggest a urinary tract issue rather than a respiratory problem. A chest X-ray is more useful for assessing lung conditions.

Choice D rationale

A CT scan of the abdomen and pelvis can be helpful in evaluating the extent of a urinary tract infection or identifying other causes of abdominal pain, but it is typically not the first-line diagnostic test. Urinalysis with culture is more specific for identifying urinary infections. .

A. A. Serum creatinine. B. Urine for microalbuminuria. C. Hearing (audio) exam. D. Chest x-ray. E. Monofilament testing of the foot.

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale

Serum creatinine is assessed annually to evaluate kidney function, as diabetes can lead to nephropathy and renal impairment.

Choice B rationale

Urine for microalbuminuria is important to detect early kidney damage, which can occur in diabetic nephropathy.

Choice C rationale

Hearing (audio) exam is not a standard annual test for diabetic complications. Diabetes primarily affects the vascular system, kidneys, and nerves.

Choice D rationale

Chest x-ray is not routinely performed annually for diabetes management. It is used when there are specific indications such as respiratory symptoms.

Choice E rationale

Monofilament testing of the foot is conducted annually to detect diabetic neuropathy and prevent foot ulcers and infections.

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Which outcome is appropriate for the client problem of "ineffective gas exchange" for the client diagnosed with chronic obstructive pulmonary disease (COPD)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the emergency department with fever, chills, and severe left costovertebral pain.Which diagnostic test should be prioritized to evaluate the underlying cause of these symptoms?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","E"]

Explanation

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