A patient diagnosed with chronic obstructive pulmonary disease (COPD) has a pulse oximetry reading of 86%, polycythemia, increase in WBC bands count, temperature of 101° F, pulse 100, respirations 35, and a chest X-ray showing evidence of a
flattened diaphragm with infiltrates. Which physician order would the nurse question for this patient? 1. Antibiotic therapy
2. Initiation of oxygen by nasal cannula at 1–2 L/minute
3. Bronchodilator therapy
4. Mucolytic therapy
4
Rationale 1: The nurse would not question an order for antibiotic therapy because the fever and increase in WBC bands indicate potential infection.
Rationale 2: Oxygen is indicated for a COPD patient whose oxygen saturations are below 88%.
Rationale 3: Bronchodilators will open up the alveoli and increase the exchange of oxygen and carbon dioxide more effectively.
Rationale 4: No mucolytics have been shown to demonstrate clinical efficacy in treating the symptoms of COPD.
You might also like to view...
Your patient tells you that he has just been told that his computed tomography results were abnormal. You can expect that his sympathetic nervous system has stimulated his adrenal gland to release what?
A) Endorphins B) Dopamine C) Epinephrine D) Testosterone
The mental health treatment team develops the therapeutic treatment plan, and each specialist plays a role in caring for the client. Every staff member assists clients with the ac-tivities of daily living and
1. eating enough food. 2. monitors their fluid intake. 3. makes sure clients follow the rules. 4. monitors progress toward treatment goals.
The nurse is reviewing data collected from a group of patients. Which patient has a normal waist-to-hip ratio?
1. female patient, waist 29 inches, hips 35 inches 2. female patient, waist 29 inches, hips 36 inches 3. male patient, waist 37 inches, hips 36 inches 4. male patient, waist 40 inches, hips 41 inches
The nurse determines that instruction of a client taking ganciclovir (Cytovene) is effective when the client states:
1. "I can take this medication on an empty stomach." 2. "This medication is OK to take during pregnancy." 3. "I should avoid becoming pregnant while on this medication." 4. "I can stop taking the medication when my symptoms are gone."