The nurse develops a plan for impaired gas exchange for a patient with end-stage chronic obstructive pulmonary disease (COPD). Which finding best helps the nurse to know when the goal has been reached?
a. The patient is alert and oriented.
b. The patient's oxygen saturation is 92%.
c. The patient is able to clear the airway with coughing.
d. The patient correctly demonstrates pursed lip breathing.
ANS: B
Oxygen saturation of 92% is desirable in a patient with COPD. It reflects adequate oxygenation. A, C, and D are all important but are not as objective as oxygen saturation.
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Which of the following components of his medication regimen is most likely implicated in his nocturia? A) Nitroglycerine patch B) A thiazide diuretic C) An ACE inhibitor D) Morphine sulfate
Which technique should the nurse use to teach an adolescent about a newly diagnosed disease process?
A) Urge the adolescent to listen attentively during teaching. B) Help the adolescent understand how this information will improve future health. C) Help the adolescent realize that teaching is needed above what peers need to learn. D) Help the adolescent understand how this information will improve health status now.
The nurse finds that an infant has stronger pulses in the upper extremities than the lower extremities and higher blood-pressure readings in the arms than the legs. This could be indicative of what heart defect?
1. Patent ductus arteriosus 2. Atrial septal defect 3. Transposition of the Great Vessels 4. Coarctation of the aorta
The nurse is caring for a patient who has a peripheral IV. While performing her routine assessment, she notes that the insertion site is pale, cool, and edematous. The patient indicates that the site is also painful to the touch
The nurse recognizes these symptoms as revealing a possible _______________. Fill in the blanks with correct word