Collaborative Care and Management of Chronic Illnesses

Collaborative Care and Management of Chronic Illnesses ( 4 Questions)

Question 1 :

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is experiencing dyspnea and anxiety. Which intervention should the nurse implement first?



Correct Answer: C

The nurse should follow the ABC (airway, breathing, circulation) priority framework when caring for a client with respiratory distress. The first intervention should be to assess the client's vital signs and oxygen saturation to determine the severity of the condition and the need for further interventions.

Incorrect options:

A) Administer oxygen therapy as prescribed. - This is an important intervention, but not the first one. The nurse should assess the client's oxygen saturation before administering oxygen therapy, as too much or too little oxygen can be harmful for a client with COPD.

B) Teach the client pursed-lip breathing technique. - This is a helpful intervention, but not the first one. The nurse should assess the client's respiratory status before teaching any breathing techniques, as some clients may not be able to perform them due to severe dyspnea or anxiety.

D) Provide reassurance and a calm environment for the client. - This is a supportive intervention, but not the first one. The nurse should address the client's physical needs before providing emotional support, as anxiety can be exacerbated by dyspnea and hypoxia.


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