Which shape should the nurse expect a client's chest to be when assessing a client who has COPD?

Pigeon

Barrel

Kyphotic

Funnel

Answer and Explanation

The Correct Answer is B

A. Pigeon chest (pectus carinatum) is a structural deformity of the chest and is not associated with COPD.

B. A barrel chest is commonly seen in clients with COPD due to hyperinflation of the lungs, causing the chest to appear rounded and expanded.

C. Kyphotic refers to an abnormal curvature of the spine (kyphosis) and is not a characteristic of COPD.

D. Funnel chest (pectus excavatum) is another structural deformity and is not typically associated with COPD.

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Free Nursing Study Resources

Correct Answer is ["3.6"]

Explanation

Step 1: Calculate the total daily dose of digoxin:

12 mcg/kg/day * 30 kg = 360 mcg/day

Step 2: Calculate the dose per administration:

Since the dose is to be divided equally every 12 hours, each dose will be half of the total daily dose:

360 mcg/day / 2 = 180 mcg/dose

Step 3: Convert mcg to mg:

180 mcg = 0.18 mg

Step 4: Calculate the volume to administer:

We know that 0.05 mg of digoxin is contained in 1 mL of the elixir. So, to find the volume for 0.18 mg, we can set up a proportion:

0.05 mg / 1 mL = 0.18 mg / x mL

Cross-multiplying:

0.05x = 0.18

Solving for x:

x = 0.18 / 0.05 = 3.6 mL

A. Metabolic alkalosis B. Metabolic acidosis C. Respiratory alkalosis D. Respiratory acidosis E. Metabolic acidosis

Correct Answer is C

Explanation

A. Metabolic alkalosis is characterized by a high pH and a high HCO3- level; this does not match the provided values.

B. Metabolic acidosis would show a low pH and a low HCO3-, which does not match the findings.

C. The pH is high (7.45) while the Paco2 is low (30 mm Hg), indicating respiratory alkalosis. The low HCO3- could be a compensatory mechanism but does not change the primary interpretation of respiratory alkalosis.

D. Respiratory acidosis would be indicated by a low pH and a high Paco2, which is not the case here.

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Which shape should the nurse expect a client's chest to be when assessing a client who has COPD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["3.6"]

Explanation

The nurse reviews the arterial blood gas results of a client and notes the following: pH 7.45, [normal range: 7.35-7.45] Paco2 of 30 mm Hg (30 mmol/L), [normal range: 35-45] HCO3- of 20 mEq/L (20 mmol/L), [normal range: 22-26] Which condition would the nurse analyze these results to indicate?

Correct Answer is C

Explanation

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