The admitting nurse is assessing a client with COPD. The nurse auscultates diminished breath sounds, which signify changes in the airway. These changes indicate to the nurse to monitor the patient for what?
A) Hypoxemia and clubbing of the fingers
B) Dyspnea and hypoxemia
C) Clubbing of the fingers and cyanosis
D) Bronchospasm and clubbing of the fingers
Ans: B
Feedback: These changes in the airway require that the nurse monitor the patient for dyspnea and hypoxemia. Clubbing of the fingers is not a sign of COPD. Cyanosis is a sign of hypoxemia.
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